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General NPI Number Information
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NPI Number | 1770114555
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Entity Type | Organization
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Legal Business Name | CAROLINA NEUROPATHY CENTERS, PLLC
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 4600 PARK RD STE 380
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City | CHARLOTTE
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State | NC
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Zip | 28209-3666
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Country | US
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Telephone | 704-236-8245
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Fax |
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Provider Business Mailing Address
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Address Line | 19905 CATAMARAN CT
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City | CORNELIUS
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State | NC
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Zip | 28031-6401
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, AUTHORIZED OFFICIAL
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Name | ERIC CCHANDLEY
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Credential |
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Telephone | 704-236-8245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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