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General NPI Number Information
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NPI Number | 1023319886
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Entity Type | Individual
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Provider Name | NICOLE J FERRELL N.P.
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Gender | Female
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Dates
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Enumeration Date | 11/10/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 611 MOCKSVILLE AVE
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City | SALISBURY
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State | NC
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Zip | 28144-2705
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Country | US
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Telephone | 704-633-7220
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Fax | 704-647-0515
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Provider Business Mailing Address
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Address Line | 611 MOCKSVILLE AVE
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City | SALISBURY
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State | NC
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Zip | 28144-2705
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Country | US
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Telephone | 704-633-7220
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Fax | 704-647-0515
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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 | 5004970
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License Number State | NC
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