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General NPI Number Information
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NPI Number | 1467405431
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Entity Type | Organization
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Legal Business Name | EASTERN CAROLINA PHYSICIANS P.A.
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 744 AIRPORT RD
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City | KINSTON
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State | NC
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Zip | 28504-8800
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Country | US
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Telephone | 252-523-0026
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Fax | 252-523-1855
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Provider Business Mailing Address
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Address Line | 744 AIRPORT RD
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City | KINSTON
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State | NC
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Zip | 28504-8800
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Country | US
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Telephone | 252-523-0026
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Fax | 252-523-1855
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARY HERSCHEL HECK
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Credential | D.O.
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Telephone | 252-523-0026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 40032
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License Number State | NC
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