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General NPI Number Information
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NPI Number | 1992761415
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Entity Type | Organization
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Legal Business Name | EAST CAROLINA HEALTH-CHOWAN INC
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 08/20/2007
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Provider Practice Location Address
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Address Line | 100 W FREEMASON CIRCLE
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City | EDENTON
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State | NC
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Zip | 27932
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Country | US
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Telephone | 252-482-1988
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Fax | 252-482-1359
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Provider Business Mailing Address
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Address Line | PO BOX 607
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City | EDENTON
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State | NC
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Zip | 27932-0607
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Country | US
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Telephone | 252-482-1988
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Fax | 252-482-1359
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEFFREY N. SACKRISON
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Credential |
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Telephone | 252-482-6268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC1133
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License Number State | NC
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