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General NPI Number Information
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NPI Number | 1083735872
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Entity Type | Organization
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Legal Business Name | CARTERET FAMILY PRACTICE CLINIC PA
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 600 ATLANTIC BEACH CSWY
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City | ATLANTIC BEACH
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State | NC
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Zip | 28512-7342
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Country | US
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Telephone | 252-247-2464
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Fax | 252-726-6143
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Provider Business Mailing Address
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Address Line | PO BOX 3097
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City | ATLANTIC BEACH
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State | NC
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Zip | 28512-3097
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Country | US
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Telephone | 252-247-2464
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Fax | 252-726-6143
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. DONALD BROOKS REECE II
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Credential | MD
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Telephone | 252-247-5177
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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 | 18559
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License Number State | NC
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