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General NPI Number Information
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NPI Number | 1124496633
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Entity Type | Individual
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Provider Name | KYLE ATKINS
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Gender | Male
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Dates
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Enumeration Date | 09/14/2015
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 2930 FORESTVILLE RD
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City | RALEIGH
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State | NC
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Zip | 27616-8774
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Country | US
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Telephone | 919-235-6550
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Fax | 919-235-6586
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Provider Business Mailing Address
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Address Line | 2920 HIGHWOODS BLVD
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City | RALEIGH
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State | NC
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Zip | 27604-0010
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Country | US
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Telephone | 877-498-4490
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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 | ATKI-DM8QR9
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License Number State | NC
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