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General NPI Number Information
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NPI Number | 1740626605
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Entity Type | Organization
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Legal Business Name | CAROLINA BREAST IMAGING SPECIALISTS PLLC
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 990 JOHNS HOPKINS DR
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City | GREENVILLE
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State | NC
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Zip | 27834-7224
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Country | US
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Telephone | 252-414-9348
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Fax |
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Provider Business Mailing Address
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Address Line | 243 MOSS WAY
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City | WASHINGTON
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State | NC
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Zip | 27889-5271
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Country | US
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Telephone | 252-414-9348
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Fax | 252-565-8958
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Authorized Official
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Title or Position | CEO
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Name | BRUCE F SCHROEDER
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Credential | MD
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Telephone | 252-414-9348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 9601060
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License Number State | NC
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