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General NPI Number Information
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NPI Number | 1164533691
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Entity Type | Individual
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Provider Name | TARA A CYPHER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 7920 ACC BLVD STE 110
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City | RALEIGH
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State | NC
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Zip | 27617-8744
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Country | US
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Telephone | 919-480-3885
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 AURORA DR
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City | RALEIGH
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State | NC
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Zip | 27615-5503
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Country | US
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Telephone | 919-841-3649
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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 | 5020633
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License Number State | NC
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