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General NPI Number Information
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NPI Number | 1013547553
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Entity Type | Individual
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Provider Name | BRENDA CHERYL FORE FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 997 OLD US HWY 70 W STE A
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City | BLACK MOUNTAIN
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State | NC
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Zip | 28711-4505
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Country | US
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Telephone | 828-298-7981
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Fax | 828-298-6010
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Provider Business Mailing Address
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Address Line | PO BOX 406
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City | BRYSON CITY
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State | NC
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Zip | 28713-0406
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Country | US
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Telephone | 828-560-3400
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Fax | 828-538-4441
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5012974
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License Number State | NC
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