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General NPI Number Information
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NPI Number | 1629698303
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Entity Type | Organization
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Legal Business Name | EASTERN BAND OF CHEROKEE INDIANS
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 117 JOHN CROWE HILL DR
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City | CHEROKEE
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State | NC
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Zip | 28719
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Country | US
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Telephone | 828-359-1507
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 666
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City | CHEROKEE
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State | NC
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Zip | 28719-0666
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Country | US
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Telephone | 828-359-1507
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF HEALTH CARE ADMINISTRAT
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Name | MICHAEL ERNEST QUILLEN
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Credential |
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Telephone | 828-359-6194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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