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General NPI Number Information
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NPI Number | 1902803109
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Entity Type | Individual
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Provider Name | CAROLYN SHANLEY DAY M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 2800 BLUE RIDGE ROAD SUITE 300
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City | RALEIGH
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State | NC
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Zip | 27607-4988
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Country | US
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Telephone | 919-784-7874
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Fax | 919-784-2708
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Provider Business Mailing Address
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Address Line | 2800 BLUE RIDGE ROAD SUITE 300
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City | RALEIGH
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State | NC
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Zip | 27607-4988
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Country | US
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Telephone | 919-784-7874
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Fax | 919-784-2708
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 201301684
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35799
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 01066148A
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License Number State | IN
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