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General NPI Number Information
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NPI Number | 1528419744
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Entity Type | Organization
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Legal Business Name | AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES-NC PLLC
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Dates
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Enumeration Date | 06/29/2016
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 2125 VALLEYGATE DR SUITE 201
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3753
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Country | US
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Telephone | 561-336-1600
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Fax | 561-828-8292
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Provider Business Mailing Address
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Address Line | 2255 GLADES RD STE 228W
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City | BOCA RATON
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State | FL
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Zip | 33431-7391
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Country | US
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Telephone | 561-349-8388
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Fax | 561-658-6142
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Authorized Official
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Title or Position | VP
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Name | JACK RHEUMATOLOGY FOWLER
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Credential |
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Telephone | 561-349-8388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 33712
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License Number State | NC
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