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General NPI Number Information
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NPI Number | 1710311451
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Entity Type | Organization
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Legal Business Name | HAYWOOD REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 262 LEROY GEORGE DR
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City | CLYDE
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State | NC
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Zip | 28721-7430
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Country | US
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Telephone | 828-452-8210
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Fax | 828-452-8341
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Provider Business Mailing Address
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Address Line | 262 LEROY GEORGE DR
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City | CLYDE
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State | NC
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Zip | 28721-7430
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Country | US
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Telephone | 828-452-8210
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Fax | 828-452-8341
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Authorized Official
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Title or Position | CFO
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Name | MICHAEL DAVID MCKNIGHT
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Credential |
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Telephone | 828-452-8210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | H0025
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License Number State | NC
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