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General NPI Number Information
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NPI Number | 1861547085
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Entity Type | Organization
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Legal Business Name | CHARLES J. DEPAOLO, M.D, P.A.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 12/19/2014
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Provider Practice Location Address
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Address Line | 3B MCDOWELL ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-4103
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Country | US
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Telephone | 828-225-1920
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Fax | 828-225-1924
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Provider Business Mailing Address
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Address Line | 3B MCDOWELL ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-4103
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Country | US
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Telephone | 828-225-1920
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Fax | 828-225-1924
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | GWENN PEMBERTON STINNETT
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Credential |
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Telephone | 866-254-7180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 200001253733
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License Number State | NC
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