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General NPI Number Information
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NPI Number | 1043437775
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Entity Type | Individual
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Provider Name | VICTOR CONRAD PAQUIN F.P.N.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 1425 FERN CREEK DR
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City | STATESVILLE
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State | NC
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Zip | 28625-9376
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Country | US
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Telephone | 828-459-6824
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Fax | 828-330-2056
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Provider Business Mailing Address
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Address Line | PO BOX 5105
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City | BELFAST
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State | ME
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Zip | 04915-5100
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Country | US
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Telephone | 919-220-5255
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 201475
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License Number State | NC
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