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General NPI Number Information
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NPI Number | 1073829461
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Entity Type | Individual
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Provider Name | CARLA SUE BENNETT FNP
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Gender | Female
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | UNC SCHOOL OF NURSING CARRINGTON HALL
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City | CHAPEL HILL
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State | NC
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Zip | 27599-9226
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Country | US
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Telephone | 517-861-0982
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Fax |
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Provider Business Mailing Address
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Address Line | 115 KILDAIRE PARK DR STE 101
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City | CARY
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State | NC
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Zip | 27518-8144
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Country | US
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Telephone | 919-873-3180
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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 | 4704212215
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 256725
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License Number State | NC
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