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General NPI Number Information
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NPI Number | 1578873808
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Entity Type | Organization
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Legal Business Name | CAROLINAS PHYSICIANS NETWORK INC
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 06/26/2017
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Provider Practice Location Address
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Address Line | 10826 MALLARD CREEK RD SUITE 100
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City | CHARLOTTE
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State | NC
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Zip | 28262-7782
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Country | US
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Telephone | 704-593-0244
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Fax | 704-547-8859
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Provider Business Mailing Address
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Address Line | PO BOX 602148
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City | CHARLOTTE
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State | NC
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Zip | 28260-2148
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Country | US
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Telephone | 704-593-0244
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Fax | 704-547-8859
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | MR. THOMAS FORD 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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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