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General NPI Number Information
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NPI Number | 1912957606
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Entity Type | Organization
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Legal Business Name | EASTERN CAROLINA EAR, NOSE & THROAT-HEAD & NECK SURGERY, INC
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 10/21/2014
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Provider Practice Location Address
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Address Line | 850 JOHNS HOPKINS DR POB 5007
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City | GREENVILLE
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State | NC
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Zip | 27834-7222
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Country | US
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Telephone | 252-752-5227
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Fax | 252-752-1191
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Provider Business Mailing Address
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Address Line | 850 JOHNS HOPKINS DR POB 5007
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City | GREENVILLE
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State | NC
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Zip | 27834-7222
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Country | US
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Telephone | 252-752-5227
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Fax | 252-752-1191
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL S. CAMNITZ
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Credential | M.D.
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Telephone | 252-752-5227
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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 | 207400000X
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License Number State | NC
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