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General NPI Number Information
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NPI Number | 1730520206
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Entity Type | Organization
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Legal Business Name | MISSION MEDICAL PRIMARY CARE OF CATAWBA COUNTY, PLLC
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 07/16/2013
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Provider Practice Location Address
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Address Line | 121 W B ST
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City | NEWTON
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State | NC
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Zip | 28658-3326
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Country | US
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Telephone | 828-994-4544
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Fax | 828-994-4548
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Provider Business Mailing Address
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Address Line | 121 W B ST
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City | NEWTON
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State | NC
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Zip | 28658-3326
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Country | US
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Telephone | 828-994-4544
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Fax | 828-994-4548
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Authorized Official
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Title or Position | DIRECTOR
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Name | RACHEL MICHELLE MITCHELL
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Credential |
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Telephone | 919-354-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 163927
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License Number State | NC
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