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General NPI Number Information
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NPI Number | 1730559915
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Entity Type | Organization
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Legal Business Name | ART OF INTERNAL MEDICINE & PEDIATRICS PA
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Dates
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Enumeration Date | 10/01/2015
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Last Update Date | 12/29/2015
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Provider Practice Location Address
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Address Line | 226 CHARLOTTE HWY
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City | ASHEVILLE
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State | NC
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Zip | 28803-8628
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Country | US
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Telephone | 828-412-4126
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Fax | 828-412-4129
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Provider Business Mailing Address
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Address Line | 226 CHARLOTTE HWY
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City | ASHEVILLE
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State | NC
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Zip | 28803-8628
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Country | US
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Telephone | 828-412-4126
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Fax | 828-412-4129
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Authorized Official
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Title or Position | OWNER
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Name | DR. BOUASY LY HUNEYCUTT
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Credential | MD
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Telephone | 828-412-4126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2007-01666
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License Number State |
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