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General NPI Number Information
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NPI Number | 1457591430
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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 | 03/03/2009
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 7491-B MARKET STREET
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City | WILMINGTON
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State | NC
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Zip | 28411-9454
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Country | US
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Telephone | 910-686-3716
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Fax | 910-686-8693
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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 | 910-686-4533
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Authorized Official
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Title or Position | PARTNER
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Name | JOHN WILLARD CROMER JR.
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Credential | MD
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Telephone | 910-686-3716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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