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General NPI Number Information
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NPI Number | 1629003967
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Entity Type | Organization
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Legal Business Name | LINCOLNTON MEDICAL GROUP,PLLC
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 12/17/2009
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Provider Practice Location Address
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Address Line | 1470 E GASTON ST SUITE 300
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City | LINCOLNTON
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State | NC
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Zip | 28092-4431
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Country | US
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Telephone | 704-735-7474
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Fax | 704-735-8788
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Provider Business Mailing Address
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Address Line | 1470 E GASTON ST SUITE 300
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City | LINCOLNTON
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State | NC
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Zip | 28092-4431
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Country | US
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Telephone | 704-735-7474
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Fax | 704-735-8788
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | DR. DOANLD F BIAS JR.
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Credential | M.D.
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Telephone | 704-735-7474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9700469
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License Number State | NC
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