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General NPI Number Information
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NPI Number | 1881395663
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Entity Type | Organization
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Legal Business Name | ARS MEDICAL , PLLC.
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Dates
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Enumeration Date | 03/17/2023
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 8824 E BELLHAVEN BLVD
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City | CHARLOTTE
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State | NC
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Zip | 28214
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Country | US
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Telephone | 704-595-3742
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Fax |
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Provider Business Mailing Address
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Address Line | 2319 PIMPERNEL RD
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City | CHARLOTTE
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State | NC
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Zip | 28213-9279
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Country | US
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Telephone | 704-595-3742
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Fax | 704-595-3788
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Authorized Official
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Title or Position | CEO
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Name | MRS. JESSICA LOUISE BROOKS
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Credential | FNP
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Telephone | 704-595-3742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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