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General NPI Number Information
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NPI Number | 1033570635
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Entity Type | Individual
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Provider Name | NAOMI STEWART DURHAM APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 03/10/2016
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Last Update Date | 03/10/2016
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Provider Practice Location Address
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Address Line | 12 READS WAY
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City | NEW CASTLE
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State | DE
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Zip | 19720-1649
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Country | US
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Telephone | 302-323-7142
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Fax | 302-323-7622
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Provider Business Mailing Address
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Address Line | 12 READS WAY
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City | NEW CASTLE
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State | DE
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Zip | 19720-1649
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Country | US
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Telephone | 302-323-7142
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Fax | 302-323-7622
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | LP-0000146
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License Number State | DE
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