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General NPI Number Information
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NPI Number | 1770732331
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Entity Type | Organization
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Legal Business Name | CARE PLASTIC SURGERY, P.A.
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Dates
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Enumeration Date | 09/18/2008
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 2001 WESTON PKWY
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City | CARY
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State | NC
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Zip | 27513-5512
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Country | US
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Telephone | 919-484-4884
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Fax | 919-484-1414
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Provider Business Mailing Address
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Address Line | 2001 WESTON PKWY
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City | CARY
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State | NC
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Zip | 27513-5512
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Country | US
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Telephone | 919-484-4884
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Fax | 919-484-1414
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN S COAN
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Credential | M.D.
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Telephone | 919-484-4884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 152241
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License Number State | NC
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