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General NPI Number Information
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NPI Number | 1770431181
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Entity Type | Organization
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Legal Business Name | HOSPITALIST MEDICINE PHYSICIANS OF NORTH CAROLINA - CLYDE PC
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 566 RUIN CREEK RD
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City | HENDERSON
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State | NC
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Zip | 27536-2927
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Country | US
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Telephone | 252-438-4143
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Fax |
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Provider Business Mailing Address
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Address Line | 1222 DEMONBREUN ST STE 1601
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City | NASHVILLE
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State | TN
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Zip | 37203-7092
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Country | US
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Telephone | 253-682-6040
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LAURA FALL
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Credential |
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Telephone | 253-682-6040
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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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