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General NPI Number Information
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NPI Number | 1871551911
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Entity Type | Organization
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Legal Business Name | METROLINA SURGICAL SPECIALISTS, PLLC
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 907 FITZGERALD ST
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City | MONROE
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State | NC
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Zip | 28112-5680
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Country | US
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Telephone | 704-226-0531
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Fax | 704-292-7880
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Provider Business Mailing Address
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Address Line | PO BOX 49092
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City | CHARLOTTE
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State | NC
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Zip | 28277-0073
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Country | US
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Telephone | 704-375-0404
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Fax | 704-375-0705
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | OBINNA NNAEMKA ERUCHALU
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Credential | MD
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Telephone | 704-375-0404
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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 |
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License Number State |
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