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General NPI Number Information
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NPI Number | 1417848789
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Entity Type | Organization
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Legal Business Name | CAROLINAEAST PHYSICIANS
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 200 STONEBRIDGE SQ
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City | HAVELOCK
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State | NC
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Zip | 28532-9505
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Country | US
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Telephone | 252-633-3942
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Fax | 252-447-3776
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Provider Business Mailing Address
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Address Line | PO BOX 68
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City | POLLOCKSVILLE
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State | NC
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Zip | 28573-0068
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Country | US
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Telephone | 252-635-3906
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Fax | 252-224-0378
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Authorized Official
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Title or Position | VP FINANCE/CFO
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Name | TAMMY M SHERRON
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Credential |
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Telephone | 252-633-8880
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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 |
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License Number State |
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