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General NPI Number Information
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NPI Number | 1033636535
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Entity Type | Individual
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Provider Name | TABITHA COPELAND MSN
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Gender | Female
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 08/24/2017
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Provider Practice Location Address
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Address Line | 1405 WEST BLVD
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City | LAURINBURG
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State | NC
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Zip | 28352-9170
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Country | US
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Telephone | 910-277-2440
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Fax | 910-277-2450
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Provider Business Mailing Address
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Address Line | 730 FORREST LN
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City | CREEDMOOR
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State | NC
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Zip | 27522-8196
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Country | US
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Telephone | 706-718-9993
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 298857
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License Number State | NC
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