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General NPI Number Information
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NPI Number | 1295095438
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC SERVICES OF EASTERN CAROLINA
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Dates
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Enumeration Date | 05/22/2012
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 302 W DAFFY LN
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City | HAMPSTEAD
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State | NC
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Zip | 28443-3547
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Country | US
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Telephone | 910-526-3288
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Fax |
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Provider Business Mailing Address
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Address Line | 302 W DAFFY LN
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City | HAMPSTEAD
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State | NC
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Zip | 28443-3547
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Country | US
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Telephone | 910-526-3288
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT SEIGEL
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Credential | NURSE PRACTITIONER
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Telephone | 910-526-3288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 207454
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License Number State | NC
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