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General NPI Number Information
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NPI Number | 1649376898
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Entity Type | Organization
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Legal Business Name | CAROLINA NEUROSURGICAL SERVICES, P.A.
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3650 CAPE CENTER DR SUITE 100
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-4406
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Country | US
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Telephone | 910-484-9802
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Fax | 910-484-2342
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Provider Business Mailing Address
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Address Line | 3650 CAPE CENTER DR SUITE 100
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-4406
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Country | US
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Telephone | 910-484-9802
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Fax | 910-484-2342
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRUCE JAUFMANN
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Credential | M.D.
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Telephone | 910-484-9802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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