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General NPI Number Information
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NPI Number | 1922067727
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Entity Type | Organization
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Legal Business Name | CRANBROOK PRIMARY CARE, PLLC
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1231 EASTCHESTER DR SUITE 120
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City | HIGH POINT
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State | NC
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Zip | 27265-3103
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Country | US
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Telephone | 336-885-4800
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Fax | 336-885-4810
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Provider Business Mailing Address
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Address Line | 1231 EASTCHESTER DR SUITE 120
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City | HIGH POINT
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State | NC
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Zip | 27265-3103
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Country | US
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Telephone | 336-885-4800
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Fax | 336-885-4810
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Authorized Official
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Title or Position | OWNER/ PHYSICIAN
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Name | DR. R STEVEN MCDONALD
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Credential | DO
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Telephone | 336-885-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NC
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