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General NPI Number Information
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NPI Number | 1053143404
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Entity Type | Individual
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Provider Name | REBECCA LOUISE SHEDRICK FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/15/2024
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 4505 FAIR MEADOWS LN STE 101
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City | RALEIGH
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State | NC
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Zip | 27607-6449
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Country | US
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Telephone | 919-787-4000
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Fax | 919-787-4009
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Provider Business Mailing Address
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Address Line | 145 RELICT DR
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City | CLAYTON
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State | NC
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Zip | 27527-6736
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Country | US
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Telephone | 919-791-7103
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5020656
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License Number State | NC
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