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General NPI Number Information
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NPI Number | 1477595841
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Entity Type | Organization
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Legal Business Name | EASTERN CARDIOLOGY PA
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 11/21/2007
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Provider Practice Location Address
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Address Line | 2090 W ARLINGTON BLVD STE A
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City | GREENVILLE
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State | NC
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Zip | 27834-5727
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Country | US
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Telephone | 252-757-3333
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Fax | 252-752-1786
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Provider Business Mailing Address
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Address Line | 2090 W ARLINGTON BLVD STE A
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City | GREENVILLE
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State | NC
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Zip | 27834-5727
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Country | US
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Telephone | 252-757-3333
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Fax | 252-752-1786
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIC BARNETT CARLSON
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Credential | M.D.
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Telephone | 252-757-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 27136
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License Number State | NC
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