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General NPI Number Information
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NPI Number | 1013422344
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Entity Type | Individual
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Provider Name | ROSELYNE BONARERI ONKUNDI NP
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Gender | Female
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 507 LAUCHWOOD DR
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City | LAURINBURG
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State | NC
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Zip | 28352-5502
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Country | US
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Telephone | 910-506-4682
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Fax | 910-506-4729
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Provider Business Mailing Address
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Address Line | 60 COMMERCE PLAZA CIR
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City | PEMBROKE
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State | NC
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Zip | 28372-7386
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Country | US
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Telephone | 910-521-2900
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Fax | 910-775-9165
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 247985
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AG10170233
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License Number State | NC
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