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General NPI Number Information
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NPI Number | 1003457623
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Entity Type | Individual
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Provider Name | CHERYL RENAE ABERSOLD APRN
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Gender | Female
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Dates
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Enumeration Date | 10/04/2019
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 624 W MAIN ST
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City | YADKINVILLE
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State | NC
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Zip | 27055-7804
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Country | US
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Telephone | 336-849-7777
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Fax | 336-849-7778
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Provider Business Mailing Address
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Address Line | 3736 US 21 HWY
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City | HAMPTONVILLE
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State | NC
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Zip | 27020-7312
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Country | US
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Telephone | 740-459-9651
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5021370
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License Number State | NC
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