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General NPI Number Information
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NPI Number | 1629049168
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Entity Type | Organization
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Legal Business Name | STANLY ORTHOPAEDIC AND HAND SURGERY CLINIC, PA
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 816 N 3RD ST
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City | ALBEMARLE
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State | NC
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Zip | 28001-3404
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Country | US
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Telephone | 704-983-3314
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Fax | 704-983-3315
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Provider Business Mailing Address
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Address Line | PO BOX 1230
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City | ALBEMARLE
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State | NC
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Zip | 28002-1230
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Country | US
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Telephone | 704-983-3314
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Fax | 704-983-3315
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Authorized Official
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Title or Position | DOCTOR
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Name | MRS. HARJIT BALA MAC
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Credential | MD
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Telephone | 704-983-3314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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