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General NPI Number Information
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NPI Number | 1194304121
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Entity Type | Individual
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Provider Name | ANN TOOLEY REAVES MD
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Gender | Female
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 4414 LAKE BOONE TRL STE 308
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City | RALEIGH
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State | NC
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Zip | 27607-7514
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Country | US
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Telephone | 919-781-7450
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Fax |
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Provider Business Mailing Address
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Address Line | 110 BEECHTREE TRL
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City | KITTRELL
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State | NC
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Zip | 27544-9323
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Country | US
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Telephone | 252-425-7237
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TOOL-9JS924
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2025-01942
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License Number State | NC
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