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General NPI Number Information
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NPI Number | 1700027802
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Entity Type | Organization
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Legal Business Name | CAROLINA INPATIENT MEDICAL SPECIALISTS, PLLC
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Dates
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Enumeration Date | 03/19/2009
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Last Update Date | 09/06/2013
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Provider Practice Location Address
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Address Line | 2201 S STERLING ST
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City | MORGANTON
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State | NC
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Zip | 28655-4044
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Country | US
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Telephone | 828-580-6753
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 S STERLING ST
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City | MORGANTON
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State | NC
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Zip | 28655-4044
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MURTHY MADDURI
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Credential | M.D.
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Telephone | 828-580-6753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2008-02079
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License Number State | NC
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