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General NPI Number Information
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NPI Number | 1962784363
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Entity Type | Organization
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Legal Business Name | CAROLINAS PHYSICIANS NETWORK INC
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 01/08/2013
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Provider Practice Location Address
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Address Line | 2209 S STERLING ST SUITE 530
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City | MORGANTON
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State | NC
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Zip | 28655-4091
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Country | US
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Telephone | 980-212-7120
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Fax | 704-732-1978
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Provider Business Mailing Address
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Address Line | PO BOX 602148
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City | CHARLOTTE
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State | NC
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Zip | 28260-2148
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Country | US
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Telephone | 980-212-7120
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Fax | 704-732-1978
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | MR. DANIEL WIENS
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Credential |
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Telephone | 704-355-0648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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