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General NPI Number Information
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NPI Number | 1245709427
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Entity Type | Individual
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Provider Name | ALLISON NELSON FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/17/2018
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Last Update Date | 12/12/2018
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Provider Practice Location Address
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Address Line | 4251 ARENDELL ST STE C
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-2871
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Country | US
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Telephone | 252-222-0660
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Fax |
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Provider Business Mailing Address
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Address Line | 147 N HARBOR DR
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City | BEAUFORT
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State | NC
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Zip | 28516-9201
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Country | US
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Telephone | 252-241-7666
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5011271
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License Number State | NC
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