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General NPI Number Information
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NPI Number | 1689749632
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNT ORTHOPEDICS & SPORTS MEDICINE CENTER PLLC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 05/27/2015
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Provider Practice Location Address
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Address Line | 220 NASH MEDICAL ARTS MALL
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City | ROCKY MOUNT
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State | NC
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Zip | 27804
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Country | US
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Telephone | 252-937-4323
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Fax | 252-937-8613
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Provider Business Mailing Address
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Address Line | 220 NASH MEDICAL ARTS MALL
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City | ROCKY MOUNT
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State | NC
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Zip | 27804
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Country | US
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Telephone | 252-937-4323
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Fax | 252-937-8613
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ELIZABETH G SIMMONS
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Credential |
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Telephone | 252-937-4323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 68433
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License Number State | NC
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