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General NPI Number Information
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NPI Number | 1659433951
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Entity Type | Individual
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Provider Name | CAROL ASBURY M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 510 CHERRY ST STE 308
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City | BLUEFIELD
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State | WV
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Zip | 24701
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Country | US
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Telephone | 304-324-1905
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Fax |
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Provider Business Mailing Address
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Address Line | 425 CARRIAGE LN
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City | BLUEFIELD
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State | VA
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Zip | 24605-9522
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Country | US
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Telephone | 276-322-1709
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0101051600
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 17750
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License Number State | WV
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