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General NPI Number Information
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NPI Number | 1104638527
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Entity Type | Individual
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Provider Name | MICHELLE PUTHUPARAMPIL
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Gender | Female
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 2715 DICKINSON AVE
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City | GREENVILLE
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State | NC
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Zip | 27834-5099
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Country | US
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Telephone | 919-619-5658
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Fax |
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Provider Business Mailing Address
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Address Line | 733 WEAVERS RIDGE DR
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City | CARY
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State | NC
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Zip | 27519-8172
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Country | US
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Telephone | 919-619-5658
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 533893
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 584589
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License Number State | NC
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