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General NPI Number Information
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NPI Number | 1982710554
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Entity Type | Organization
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Legal Business Name | CAROLINAS MEDICAL CENTER
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 1225 HARDING PL STE 1400
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City | CHARLOTTE
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State | NC
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Zip | 28204-2826
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Country | US
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Telephone | 704-468-3310
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Fax | 704-468-3311
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Provider Business Mailing Address
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Address Line | PO BOX 604357
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City | CHARLOTTE
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State | NC
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Zip | 28260-4357
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Country | US
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Telephone | 704-512-7637
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Fax | 704-512-7630
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Authorized Official
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Title or Position | CFO
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Name | BRADLEY A CLARK
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Credential |
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Telephone | 336-716-5099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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