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General NPI Number Information
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NPI Number | 1902137367
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Entity Type | Organization
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Legal Business Name | MATTHEWS INFECTIOUS DISEASE SPECIALISTS, PLLC
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Dates
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Enumeration Date | 01/26/2010
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Last Update Date | 01/26/2010
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Provider Practice Location Address
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Address Line | 1340 MATTHEWS TOWNSHIP PKWY SUITE 102
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City | MATTHEWS
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State | NC
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Zip | 28105-5580
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Country | US
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Telephone | 704-321-5092
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Fax | 704-321-5101
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Provider Business Mailing Address
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Address Line | 1340 MATTHEWS TOWNSHIP PKWY SUITE 102
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City | MATTHEWS
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State | NC
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Zip | 28105-5580
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Country | US
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Telephone | 704-321-5092
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Fax | 704-321-5101
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CYNTHIA K NORTEY
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Credential | MD
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Telephone | 704-321-5092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 161990
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License Number State | NC
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