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General NPI Number Information
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NPI Number | 1093021461
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Entity Type | Individual
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Provider Name | CHERYL ANNE STACY NP-C
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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 | 08/01/2012
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Provider Practice Location Address
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Address Line | 3975 ROBINSON RD
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City | NEWTON
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State | NC
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Zip | 28658-9715
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Country | US
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Telephone | 828-466-0466
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Fax | 828-466-8862
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Provider Business Mailing Address
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Address Line | 3975 ROBINSON RD
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City | NEWTON
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State | NC
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Zip | 28658-9715
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Country | US
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Telephone | 828-466-0466
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Fax | 828-466-8862
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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 | 5004828
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 5004828
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License Number State | NC
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