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General NPI Number Information
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NPI Number | 1831269687
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Entity Type | Organization
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Legal Business Name | CAROLINA RADIOLOGY, PA
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 08/06/2009
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Provider Practice Location Address
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Address Line | 11550 COMMON OAKS DR SUITE 110
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City | RALEIGH
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State | NC
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Zip | 27614-7298
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Country | US
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Telephone | 910-794-6884
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Fax | 910-395-6714
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Provider Business Mailing Address
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Address Line | PO BOX 13445
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City | ROANOKE
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State | VA
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Zip | 24034-3445
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Country | US
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Telephone | 866-788-9852
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Fax | 540-776-6856
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER L THARRINGTON
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Credential | MD
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Telephone | 910-794-6884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 9400160
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License Number State | NC
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