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General NPI Number Information
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NPI Number | 1225826001
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Entity Type | Individual
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Provider Name | ADDIE ELIZABETH LAYTON FNP
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Gender | Female
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 125 W CATAWBA AVE
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City | MOUNT HOLLY
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State | NC
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Zip | 28120-1601
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Country | US
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Telephone | 704-827-3014
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Fax |
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Provider Business Mailing Address
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Address Line | 130 BOULDER DR
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City | LINCOLNTON
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State | NC
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Zip | 28092-8807
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Country | US
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Telephone | 704-747-4903
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 5022062
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License Number State | NC
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