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General NPI Number Information
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NPI Number | 1578660809
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Entity Type | Organization
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Legal Business Name | NASH MSO
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2460 CURTIS ELLIS DR
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-2237
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Country | US
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Telephone | 252-443-8540
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Fax | 252-443-8397
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Provider Business Mailing Address
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Address Line | 2460 CURTIS ELLIS DR
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-2237
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Country | US
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Telephone | 252-443-8540
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Fax | 252-443-8397
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MS. KATHERINE ANN SZABO
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Credential |
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Telephone | 252-443-8540
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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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