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General NPI Number Information
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NPI Number | 1588623722
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Entity Type | Organization
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Legal Business Name | APPALACHIAN INTERNAL MEDICINE, PLLC
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 03/16/2010
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Provider Practice Location Address
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Address Line | 108 DOCTORS DR
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City | BOONE
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State | NC
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Zip | 28607-5000
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Country | US
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Telephone | 828-264-6362
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Fax | 828-265-4816
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Provider Business Mailing Address
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Address Line | 108 DOCTORS DR
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City | BOONE
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State | NC
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Zip | 28607-5000
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Country | US
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Telephone | 828-264-6362
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Fax | 828-265-4816
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Authorized Official
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Title or Position | OWNER
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Name | CHARLIE L. SYKES
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Credential | M.D.
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Telephone | 828-262-3886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 64236
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License Number State | NC
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