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General NPI Number Information
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NPI Number | 1134359516
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Entity Type | Individual
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Provider Name | KEVEN TERESA ZIBELIN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 4811 NC HIGHWAY 50
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City | MAPLE HILL
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State | NC
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Zip | 28454-8153
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Country | US
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Telephone | 910-259-6444
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Fax | 910-259-6659
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Provider Business Mailing Address
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Address Line | 4811 NC HWY 50
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City | MAPLE HILL
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State | NC
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Zip | 28454
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Country | US
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Telephone | 910-259-6444
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Fax | 910-259-6659
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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 | 5004423
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License Number State | NC
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