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General NPI Number Information
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NPI Number | 1104905520
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Entity Type | Individual
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Provider Name | VINEETA JINDAL NP
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Gender | Female
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Dates
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Enumeration Date | 11/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 820 S BOYLAN AVE
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City | RALEIGH
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State | NC
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Zip | 27603-2246
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Country | US
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Telephone | 919-733-0740
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Fax |
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Provider Business Mailing Address
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Address Line | 11401 PACESFERRY DR
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City | RALEIGH
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State | NC
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Zip | 27614-9073
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Country | US
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Telephone | 919-676-9336
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 900049
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License Number State | NC
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