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General NPI Number Information
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NPI Number | 1285055053
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTHCARE OF EASTERN CAROLINA PLLC
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Dates
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Enumeration Date | 12/21/2013
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Last Update Date | 12/21/2013
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Provider Practice Location Address
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Address Line | 103 AIRPORT RD
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City | KINSTON
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State | NC
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Zip | 28501-1603
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Country | US
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Telephone | 252-526-1452
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Fax |
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Provider Business Mailing Address
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Address Line | 3914 GEORGE DR
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City | AYDEN
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State | NC
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Zip | 28513-1818
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Country | US
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Telephone | 252-526-1452
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Fax |
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Authorized Official
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Title or Position | OWNER/SOLE MEMBER
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Name | DESHONTA L MYERS HENRY KING
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Credential | M.D.
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Telephone | 252-526-1452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2008-00903
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License Number State | NC
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