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General NPI Number Information
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NPI Number | 1932189545
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Entity Type | Organization
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Legal Business Name | CAROLINA BONE & JOINT PA
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 05/17/2024
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Provider Practice Location Address
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Address Line | 1315 E SUNSET DR
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City | MONROE
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State | NC
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Zip | 28112-4324
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Country | US
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Telephone | 704-289-4595
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Fax | 704-289-5829
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Provider Business Mailing Address
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Address Line | 10508 PARK RD STE 120
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City | CHARLOTTE
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State | NC
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Zip | 28210-8526
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Country | US
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Telephone | 704-541-3055
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Fax | 704-319-2166
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Authorized Official
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Title or Position | PARTNER/AUTHORIZED OFFICIAL
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Name | NEAL MICHAEL GOLDBERGER
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Credential | MD
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Telephone | 704-289-4595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | NC
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