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General NPI Number Information
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NPI Number | 1548501141
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Entity Type | Organization
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Legal Business Name | CAROLINAS MEDICAL CENTER
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 501 BILLINGSLEY RD STE A
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City | CHARLOTTE
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State | NC
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Zip | 28211-1009
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Country | US
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Telephone | 704-444-2400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19305
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City | CHARLOTTE
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State | NC
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Zip | 28219-9305
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Country | US
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Telephone | 704-631-0002
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Fax |
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | THOMAS LAYMON
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Credential |
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Telephone | 704-446-8250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry 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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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