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General NPI Number Information
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NPI Number | 1013019488
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Entity Type | Individual
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Provider Name | JANE MCNAB DEVEAU MD
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Gender | Female
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 3305 SUNGATE BLVD RALEIGH CBOC - VAMC
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City | RALEIGH
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State | NC
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Zip | 27610-2871
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Country | US
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Telephone | 919-212-0129
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Fax |
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Provider Business Mailing Address
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Address Line | 2632 DAVIS ST
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City | RALEIGH
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State | NC
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Zip | 27608-2030
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Country | US
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Telephone | 919-803-5747
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 9701316
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 9701316
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License Number State | NC
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