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General NPI Number Information
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NPI Number | 1053246801
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Entity Type | Organization
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Legal Business Name | ELEVATED HER PLLC
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 4504 FIRESTONE LN N
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City | WILSON
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State | NC
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Zip | 27896-9130
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Country | US
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Telephone | 252-299-6208
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Fax | 252-299-6208
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Provider Business Mailing Address
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Address Line | 4504 FIRESTONE LN N
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City | WILSON
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State | NC
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Zip | 27896-9130
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Country | US
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Telephone | 252-299-6208
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Fax | 252-299-6208
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Authorized Official
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Title or Position | RN
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Name | NANCY K CUNNINGHAM
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Credential | MSN FNP
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Telephone | 252-299-6208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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