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General NPI Number Information
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NPI Number | 1184144172
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Entity Type | Organization
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Legal Business Name | THE MEDIATION CENTER OF EASTERN CAROLINA
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 200 EASTBROOK DR STE A
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City | GREENVILLE
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State | NC
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Zip | 27858-4220
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Country | US
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Telephone | 252-758-0268
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Fax | 252-758-8810
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Provider Business Mailing Address
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Address Line | 200 EASTBROOK DR STE A
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City | GREENVILLE
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State | NC
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Zip | 27858-4220
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Country | US
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Telephone | 252-758-0268
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Fax | 252-758-8810
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Authorized Official
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Title or Position | CHIEF OPERATION OFFICER
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Name | MS. SANDRA SPENCER
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Credential |
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Telephone | 252-758-0268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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