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General NPI Number Information
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NPI Number | 1942242599
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Entity Type | Organization
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Legal Business Name | CARTERET SURGICAL ASSOCIATES, PA
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 306 MEDICAL PARK CT
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-4346
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Country | US
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Telephone | 252-247-2101
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Fax | 252-247-4675
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Provider Business Mailing Address
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Address Line | 306 MEDICAL PARK CT
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-4346
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Country | US
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Telephone | 252-247-2101
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Fax | 252-247-4675
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Authorized Official
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Title or Position | CREDENTIALING
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Name | JAMIE HIGGINS
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Credential |
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Telephone | 252-222-5865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 |
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State | NC
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Taxonomy #4
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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 |
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | NC
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