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General NPI Number Information
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NPI Number | 1881756211
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Entity Type | Organization
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Legal Business Name | CARTERET MEDICAL ASSOCIATES, PA
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 221B PROFESSIONAL CIR
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-4303
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Country | US
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Telephone | 252-222-0195
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Fax | 252-222-0197
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Provider Business Mailing Address
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Address Line | 221B PROFESSIONAL CIR
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-4303
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Country | US
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Telephone | 252-222-0195
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Fax | 252-222-0197
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LARRY ARRAY HOLLAR JR.
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Credential | MD
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Telephone | 25222201095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 112476
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License Number State | NC
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