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General NPI Number Information
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NPI Number | 1518439546
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Entity Type | Organization
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Legal Business Name | CATAWBA VALLEY MEDICAL GROUP INC
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 174 BOLICK LN STE 202
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City | TAYLORSVILLE
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State | NC
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Zip | 28681-4362
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Country | US
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Telephone | 828-732-5680
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Fax | 828-732-5681
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Provider Business Mailing Address
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Address Line | PO BOX 890273
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City | CHARLOTTE
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State | NC
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Zip | 28289-0273
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | PAMELA GALLAGHER
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Credential |
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Telephone | 828-326-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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