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General NPI Number Information
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NPI Number | 1356569651
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Entity Type | Organization
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Legal Business Name | EAST CAROLINA FOOT AND ANKLE SPECIALISTS
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 958 HWY 64 EAST
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City | PLYMOUTH
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State | NC
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Zip | 27962
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Country | US
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Telephone | 252-809-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 106 WEST ACADEMY STREET
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City | WILLIAMSTON
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State | NC
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Zip | 27892
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MARC SABO
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Credential | DPM
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Telephone | 252-809-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 448
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License Number State | NC
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