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General NPI Number Information
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NPI Number | 1972834893
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Entity Type | Organization
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Legal Business Name | CRAVEN NEUROLOGIC PA
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 2402 CAMDEN ST SW SUITE 100
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City | WILSON
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State | NC
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Zip | 27893-8608
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Country | US
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Telephone | 252-399-7500
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Fax | 252-399-0123
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Provider Business Mailing Address
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Address Line | 2402 CAMDEN ST SW SUITE 100
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City | WILSON
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State | NC
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Zip | 27893-8608
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Country | US
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Telephone | 252-399-7500
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Fax | 252-399-0123
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. WILLIAM JAMES CRAVEN
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Credential | M.D.
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Telephone | 252-399-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 38597
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License Number State | NC
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