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General NPI Number Information
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NPI Number | 1518764943
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Entity Type | Organization
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Legal Business Name | MOBILE URGENT CARE OF THE CAROLINAS
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 11024 JORDAN RAE LANE
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City | CHARLOTTE
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State | NC
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Zip | 28277
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Country | US
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Telephone | 240-994-3639
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Fax |
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Provider Business Mailing Address
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Address Line | 9935 REA ROAD STE D #217
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City | CHARLOTTE
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State | NC
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Zip | 28277
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Country | US
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Telephone | 240-994-3639
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | MR. PAUL E NEAGLE
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Credential | PA-C
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Telephone | 240-994-3639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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