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General NPI Number Information
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NPI Number | 1942301676
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Entity Type | Organization
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Legal Business Name | FAMILY CARE OF FAIRVIEW, PA
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 136 CHARLOTTE HWY
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City | ASHEVILLE
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State | NC
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Zip | 28803-9673
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Country | US
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Telephone | 828-296-0880
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Fax | 828-296-0855
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Provider Business Mailing Address
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Address Line | 136 CHARLOTTE HWY
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City | ASHEVILLE
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State | NC
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Zip | 28803-9673
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Country | US
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Telephone | 828-296-0880
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Fax | 828-296-0855
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | KERRY HOLT WRIGHT
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Credential |
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Telephone | 828-296-0880
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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 | 105482
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License Number State | NC
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