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General NPI Number Information
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NPI Number | 1972723096
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Entity Type | Organization
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Legal Business Name | CAROLINAS MEDICAL ALLIANCE, INC
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 01/02/2014
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Provider Practice Location Address
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Address Line | 105 N RAILROAD AVE
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City | LAMAR
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State | SC
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Zip | 29069-9727
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Country | US
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Telephone | 843-326-5777
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Fax | 843-326-1038
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Provider Business Mailing Address
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Address Line | 105 N RAILROAD AVE
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City | LAMAR
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State | SC
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Zip | 29069-9727
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Country | US
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Telephone | 843-326-5777
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Fax | 843-326-1038
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Authorized Official
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Title or Position | DIRECTOR
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Name | SOPHIA L ARWOOD
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Credential |
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Telephone | 615-628-6038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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