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General NPI Number Information
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NPI Number | 1932599248
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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 | 01/26/2015
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 101 HEART DR L100A
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City | GREENVILLE
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State | NC
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Zip | 27834-8982
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Country | US
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Telephone | 252-744-0172
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Fax |
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Provider Business Mailing 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 |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JASON A FOLTZ
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Credential | M.D.
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Telephone | 252-744-1882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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