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General NPI Number Information
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NPI Number | 1497045652
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Entity Type | Organization
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Legal Business Name | PITT COUNTY MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 600 MOYE BLVD
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City | GREENVILLE
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State | NC
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Zip | 27834-4300
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Country | US
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Telephone | 252-847-4700
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Fax | 252-847-4725
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Provider Business Mailing Address
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Address Line | PO BOX 6028
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City | GREENVILLE
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State | NC
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Zip | 27835-6028
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Country | US
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Telephone | 252-847-4700
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Fax | 252-847-4725
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Authorized Official
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Title or Position | CFO
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Name | MR. ANDREW K ZUKOWSKI
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Credential |
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Telephone | 252-847-4582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471R0002X
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Taxonomy Name | Radiation Therapy Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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