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General NPI Number Information
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NPI Number | 1003778580
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Entity Type | Individual
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Provider Name | DEBRACCA KING FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1134 N ROAD ST
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-3322
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Country | US
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Telephone | 252-333-1047
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Fax |
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Provider Business Mailing Address
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Address Line | 5407 STRASBURG DR
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City | GREENSBORO
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State | NC
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Zip | 27407-6483
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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 |
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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 | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | F02250361
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F02250361
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License Number State | NC
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