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General NPI Number Information
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NPI Number | 1396944203
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Entity Type | Organization
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Legal Business Name | CAROLINA EAST MEDICAL ASSOCIATES, INC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 505 GREENVILLE BLVD SE
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City | GREENVILLE
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State | NC
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Zip | 27858-6736
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Country | US
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Telephone | 252-355-0000
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Fax | 252-355-2777
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Provider Business Mailing Address
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Address Line | 505 GREENVILLE BLVD SE
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City | GREENVILLE
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State | NC
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Zip | 27858-6736
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Country | US
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Telephone | 252-355-0000
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Fax | 252-355-2777
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. COURTNEY FRANKLIN BLOUNT
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Credential |
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Telephone | 252-975-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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