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General NPI Number Information
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NPI Number | 1689815284
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Entity Type | Organization
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Legal Business Name | EAST CAROLINA UNIVERSITY
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Dates
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Enumeration Date | 03/12/2009
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Last Update Date | 07/26/2024
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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 | 252-744-4618
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Fax | 252-744-2827
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Provider Business Mailing Address
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Address Line | 1851 MACGREGOR DOWNS RD
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City | GREENVILLE
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State | NC
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Zip | 27834-5925
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Country | US
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Telephone | 252-737-7000
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Fax |
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Authorized Official
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Title or Position | DEAN, SCHOOL OF DENTIAL MEDICINE
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Name | DR. DEXTER GREGORY CHADWICK
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Credential | DDS, MS
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Telephone | 252-737-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | NC
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