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General NPI Number Information
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NPI Number | 1720161805
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Entity Type | Organization
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Legal Business Name | CATAWBA VALLEY PRIMARY CARE, PLLC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 12/10/2009
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Provider Practice Location Address
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Address Line | 2180 NORTHWEST BLVD SUITE A
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City | NEWTON
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State | NC
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Zip | 28658-3724
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Country | US
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Telephone | 828-464-7800
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Fax | 828-464-7825
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Provider Business Mailing Address
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Address Line | 2180 NORTHWEST BLVD SUITE A
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City | NEWTON
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State | NC
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Zip | 28658-3724
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Country | US
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Telephone | 828-464-7800
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Fax | 828-464-7825
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Authorized Official
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Title or Position | OWNER
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Name | RAYMOND H OSTERER
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Credential | PHYSICIAN ASSISTANT
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Telephone | 828-464-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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