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General NPI Number Information
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NPI Number | 1396994240
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Entity Type | Organization
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Legal Business Name | EASTCOAST DIAGNOSTICS & SLEEP CENTERS, INC.
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 1830 OWEN DR SUITE 103
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-1611
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Country | US
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Telephone | 910-860-8378
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Fax | 910-860-8379
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Provider Business Mailing Address
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Address Line | PO BOX 10487
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City | WILMINGTON
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State | NC
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Zip | 28404-0487
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Country | US
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Telephone | 910-200-9932
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Fax | 910-686-8693
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Authorized Official
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Title or Position | CORPORATE SECRETARY
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Name | HELENE D O'BRIEN
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Credential |
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Telephone | 910-200-9932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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