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General NPI Number Information
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NPI Number | 1700385846
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Entity Type | Organization
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Legal Business Name | THE PRESBYTERIAN HOSPITAL
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Dates
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Enumeration Date | 02/05/2018
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Last Update Date | 02/05/2018
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Provider Practice Location Address
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Address Line | 1918 RANDOLPH RD STE 820
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City | CHARLOTTE
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State | NC
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Zip | 28207-1119
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Country | US
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Telephone | 704-316-5140
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Fax | 704-316-5141
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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Country | US
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Telephone | 704-316-5140
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Fax | 704-316-5141
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | GEOFFREY K GARDNER
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Credential |
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Telephone | 704-384-7606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 200800578
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License Number State | NC
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