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General NPI Number Information
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NPI Number | 1790676872
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Entity Type | Organization
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Legal Business Name | CAROLINAEAST PHYSICIANS
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 729 3RD AVENUE
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City | NEW BERN
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State | NC
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Zip | 28560
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Country | US
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Telephone | 252-633-1010
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 896206
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City | CHARLOTTE
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State | NC
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Zip | 28289-6206
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Country | US
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Telephone | 252-635-3268
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Fax | 252-638-4816
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Authorized Official
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Title or Position | VP FINANCE/CFO
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Name | TAMMY SHERRON
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Credential |
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Telephone | 252-633-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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