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General NPI Number Information
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NPI Number | 1194703884
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Entity Type | Organization
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Legal Business Name | EAST CAROLINA HEALTH - HERITAGE INC
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 111 HOSPITAL DR
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City | TARBORO
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State | NC
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Zip | 27886-2011
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Country | US
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Telephone | 252-641-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 111 HOSPITAL DR
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City | TARBORO
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State | NC
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Zip | 27886-2011
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Country | US
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Telephone | 252-641-7700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PATRICK M HEINS
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Credential |
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Telephone | 252-641-7123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | H0258
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | H0258
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License Number State | NC
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