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General NPI Number Information
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NPI Number | 1558313478
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Entity Type | Organization
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Legal Business Name | RALEIGH HAND TO SHOULDER CENTER PA
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 3701 WAKE FOREST RD STE 3100
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City | RALEIGH
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State | NC
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Zip | 27609-6832
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Country | US
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Telephone | 919-872-3171
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Fax | 919-872-6739
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Provider Business Mailing Address
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Address Line | 3701 WAKE FOREST RD STE 100
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City | RALEIGH
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State | NC
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Zip | 27609-6832
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Country | US
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Telephone | 919-872-3171
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Fax | 919-872-6739
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE S EDWARDS JR.
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Credential | MD
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Telephone | 919-872-3171
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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