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General NPI Number Information
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NPI Number | 1801193347
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Entity Type | Organization
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Legal Business Name | CAROLINAS MEDICAL CENTER
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Dates
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Enumeration Date | 02/18/2011
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 9726 SAM FURR RD
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-8218
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Country | US
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Telephone | 704-512-4400
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Fax | 704-512-4401
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Provider Business Mailing Address
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Address Line | PO BOX 601372
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City | CHARLOTTE
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State | NC
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Zip | 28260-1372
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Country | US
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Telephone | 704-512-4400
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Fax | 704-512-4401
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Authorized Official
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Title or Position | SVP
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Name | MR. THOMAS FORD LAYMON
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Credential |
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Telephone | 704-631-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P0004X
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Taxonomy Name | Spinal Cord Injury 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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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