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General NPI Number Information
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NPI Number | 1679737696
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Entity Type | Organization
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Legal Business Name | TRANSYLVANIA PHYSICIAN SERVICES, INC.
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 04/28/2018
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Provider Practice Location Address
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Address Line | 89 HOSPITAL DR STE A
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City | BREVARD
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State | NC
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Zip | 28712-4838
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Country | US
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Telephone | 828-862-6368
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Fax | 828-885-5742
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Provider Business Mailing Address
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Address Line | PO BOX 602373
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City | CHARLOTTE
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State | NC
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Zip | 28260-2373
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Country | US
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Telephone | 828-213-1500
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Fax | 828-651-6570
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Authorized Official
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Title or Position | CHIEF REVENUE OFFICER
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Name | RHONDA A MILLER
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Credential |
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Telephone | 828-651-4144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number |
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number |
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number |
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | NC
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