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General NPI Number Information
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NPI Number | 1962869271
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Entity Type | Organization
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Legal Business Name | CAPE FEAR REGIONAL TRANSPORT INC
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 609 CAROLINA AVE
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City | YADKINVILLE
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State | NC
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Zip | 27055-7759
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Country | US
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Telephone | 336-677-1116
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Fax | 336-677-1103
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Provider Business Mailing Address
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Address Line | 609 CAROLINA AVE
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City | YADKINVILLE
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State | NC
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Zip | 27055-7759
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Country | US
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Telephone | 336-677-1116
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ DIRECTOR
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Name | GARY W MILLER
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Credential |
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Telephone | 704-907-8063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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