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General NPI Number Information
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NPI Number | 1013030543
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Entity Type | Organization
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Legal Business Name | CAROLINA EAST MEDICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 1201 CAROLINA AVE
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City | WASHINGTON
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State | NC
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Zip | 27889-3571
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Country | US
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Telephone | 252-975-1111
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Fax | 252-975-6696
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Provider Business Mailing Address
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Address Line | 1201 CAROLINA AVE
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City | WASHINGTON
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State | NC
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Zip | 27889-3571
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Country | US
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Telephone | 252-975-1111
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Fax | 252-975-6696
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. COURTNEY FRANKLIN BLOUNT
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Credential |
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Telephone | 252-975-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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