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General NPI Number Information
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NPI Number | 1790110757
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Entity Type | Organization
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Legal Business Name | MED ASSIST OF NEW BERN, NC
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 2007 NEUSE BLVD
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City | NEW BERN
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State | NC
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Zip | 28560
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Country | US
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Telephone | 252-634-6360
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Fax | 252-634-6364
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Provider Business Mailing Address
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Address Line | POST OFFICE BOX 1694
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City | NEW BERN
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State | NC
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Zip | 28562
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Country | US
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Telephone | 252-670-0659
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARL J HILLER
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Credential | M.D.
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Telephone | 252-670-0659
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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 | 15823
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License Number State | NC
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