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General NPI Number Information
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NPI Number | 1851343065
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Entity Type | Organization
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Legal Business Name | CAROLINA CARDIOVASCULAR ASSOCIATES PA
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 108 PALMETTO PARK BLVD STE D
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City | LEXINGTON
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State | SC
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Zip | 29072-7968
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Country | US
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Telephone | 803-356-0949
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Fax | 803-356-1795
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Provider Business Mailing Address
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Address Line | 108 PALMETTO PARK BLVD STE D
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City | LEXINGTON
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State | SC
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Zip | 29072-7968
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Country | US
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Telephone | 803-356-0949
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Fax | 803-356-1795
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT M AMORY
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Credential | D.O.
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Telephone | 803-356-0949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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