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General NPI Number Information
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NPI Number | 1912002189
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Entity Type | Organization
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Legal Business Name | CHARLES A. CANNON JR. MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 436 HOSPITAL DR, SLOOP MEDICAL OFFICE PLAZA SUITE 210
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City | LINVILLE
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State | NC
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Zip | 28646
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Country | US
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Telephone | 828-737-7865
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Fax | 828-737-7867
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Provider Business Mailing Address
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Address Line | PO BOX 459
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City | LINVILLE
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State | NC
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Zip | 28646-0459
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Country | US
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Telephone | 828-737-7865
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Fax | 828-737-7867
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Authorized Official
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Title or Position | DIRECTOR PATIENT FIN. SERVICES
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Name | TERESA ELAINE BARRIER
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Credential |
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Telephone | 828-737-7011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | H0037
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License Number State | NC
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