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General NPI Number Information
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NPI Number | 1528085313
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Entity Type | Organization
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Legal Business Name | ORTHOCAROLINA
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 502 W KING ST SUITE 100-C
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City | KINGS MOUNTAIN
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State | NC
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Zip | 28086-3362
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Country | US
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Telephone | 704-739-0277
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Fax | 704-339-1444
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Provider Business Mailing Address
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Address Line | 4601 PARK RD STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28209-3239
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Country | US
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Telephone | 704-323-2256
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Fax | 704-323-3911
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Authorized Official
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Title or Position | CEO
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Name | TOM F LAYMON
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Credential |
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Telephone | 704-339-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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