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General NPI Number Information
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NPI Number | 1144968959
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Entity Type | Individual
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Provider Name | FOLASHADE RUTH PASEDA FNP
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Gender | Female
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 621 S MAIN ST STE 100
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City | REIDSVILLE
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State | NC
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Zip | 27320-5034
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Country | US
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Telephone | 336-951-6460
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Fax |
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Provider Business Mailing Address
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Address Line | 798 AVALON SPRINGS CT
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City | HIGH POINT
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State | NC
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Zip | 27265-2914
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Country | US
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Telephone | 336-457-3280
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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 | F06221897
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5016575
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 288927
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License Number State | NC
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