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General NPI Number Information
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NPI Number | 1750548020
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Entity Type | Organization
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Legal Business Name | RUSSELL AUSTIN FLINT MD PC
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 78 BROAD ST
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City | SPRUCE PINE
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State | NC
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Zip | 28777-8937
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Country | US
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Telephone | 828-765-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 78 BROAD ST
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City | SPRUCE PINE
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State | NC
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Zip | 28777-8937
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Country | US
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Telephone | 828-765-8200
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ALISA FLINT
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Credential |
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Telephone | 828-765-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 36348
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License Number State | NC
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