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General NPI Number Information
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NPI Number | 1679586309
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Entity Type | Organization
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Legal Business Name | CLIMAX FAMILY PRACTICE PA
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 07/07/2010
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Provider Practice Location Address
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Address Line | 1008 NC HWY 62 EAST
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City | CLIMAX
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State | NC
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Zip | 27233
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Country | US
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Telephone | 336-674-8237
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Fax | 336-674-8968
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Provider Business Mailing Address
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Address Line | 1008 NC HIGHWAY 62 E
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City | CLIMAX
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State | NC
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Zip | 27233-8094
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Country | US
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Telephone | 336-674-8237
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Fax | 336-674-8968
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Authorized Official
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Title or Position | PRESIDENT,OWNER
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Name | DR. JAMES CONRAD LITTLE JR.
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Credential | M.D.
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Telephone | 336-674-8237
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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 | 15968
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License Number State | NC
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