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General NPI Number Information
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NPI Number | 1568454056
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Entity Type | Organization
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Legal Business Name | CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 01/16/2017
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Provider Practice Location Address
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Address Line | 1330 BOILING SPRINGS RD STE 1600
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City | SPARTANBURG
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State | SC
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Zip | 29303-2244
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Country | US
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Telephone | 864-582-6396
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Fax | 864-582-1608
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Provider Business Mailing Address
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Address Line | 1330 BOILING SPRINGS RD STE 1600
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City | SPARTANBURG
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State | SC
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Zip | 29303-2244
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Country | US
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Telephone | 864-582-6396
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Fax | 864-582-1608
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KAREN D WALCHER
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Credential | BS
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Telephone | 864-582-6396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 1028
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 1157
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 11210
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 17900
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 16064
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License Number State | SC
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Taxonomy #6
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 13517
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License Number State | SC
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Taxonomy #7
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 10774
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License Number State | SC
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Taxonomy #8
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 26630
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License Number State | SC
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Taxonomy #9
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | A153
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License Number State | SC
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Taxonomy #10
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | A843
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License Number State | SC
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Taxonomy #11
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 860
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License Number State | SC
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Taxonomy #12
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 10436
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License Number State | SC
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