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General NPI Number Information
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NPI Number | 1114003449
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Entity Type | Individual
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Provider Name | SHELEY BUTLER ELDRIDGE RN NPC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2006
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Last Update Date | 01/11/2017
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Provider Practice Location Address
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Address Line | 307 W CORNELIUS HARNETT BLVD
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City | LILLINGTON
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State | NC
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Zip | 27546-9335
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Country | US
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Telephone | 910-814-6296
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Fax | 910-814-4065
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Provider Business Mailing Address
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Address Line | 246 FESTUS RD
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City | COATS
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State | NC
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Zip | 27521-9598
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Country | US
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Telephone | 910-797-7613
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Fax | 910-814-6296
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 800135
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License Number State | NC
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