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General NPI Number Information
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NPI Number | 1982178042
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Entity Type | Organization
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Legal Business Name | LANGTREE ENDOSCOPY CENTER, LLC
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Dates
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Enumeration Date | 01/11/2019
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 106 ALEXANDER BANK DRIVE SUITE 101
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City | MOORESVILLE
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State | NC
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Zip | 28117
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Country | US
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Telephone | 704-660-2651
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Fax | 704-663-6521
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Provider Business Mailing Address
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Address Line | 106 ALEXANDER BANK DR STE 101
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City | MOORESVILLE
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State | NC
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Zip | 28117-9624
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Country | US
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Telephone | 704-660-2651
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Fax | 704-663-6521
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT J. MORONEY
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Credential |
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Telephone | 704-355-9320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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