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General NPI Number Information
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NPI Number | 1932668217
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Entity Type | Organization
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Legal Business Name | CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 03/18/2019
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Provider Practice Location Address
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Address Line | CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES 220 ROPER MOUNTAIN ROAD EXTENSION
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City | GREENVILLE
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State | SC
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Zip | 29615
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Country | US
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Telephone | 864-582-6396
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Fax | 864-582-1608
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Provider Business Mailing Address
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Address Line | 1330 BOILING SPRINGS RD STE 1600
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City | SPARTANBURG
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State | SC
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Zip | 29303-4219
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Country | US
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Telephone | 864-582-6396
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Fax | 864-582-1608
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KAREN D WALCHER
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Credential |
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Telephone | 864-582-6396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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