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General NPI Number Information
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NPI Number | 1922045749
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Entity Type | Organization
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Legal Business Name | NORTH STATE INVESTMENT GROUP, LLC
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 01/16/2013
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Provider Practice Location Address
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Address Line | 1240 CORPORATION PARKWAY
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City | RALEIGH
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State | NC
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Zip | 27610-1348
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Country | US
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Telephone | 919-261-8911
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Fax | 919-261-8991
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Provider Business Mailing Address
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Address Line | 1240 CORPORATION PARKWAY
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City | RALEIGH
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State | NC
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Zip | 27610-1348
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Country | US
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Telephone | 919-261-8911
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Fax | 919-261-8991
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Authorized Official
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Title or Position | CEO
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Name | MR. STUART D COWARD IV
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Credential |
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Telephone | 919-261-8911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State | NC
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