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General NPI Number Information
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NPI Number | 1265834824
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Entity Type | Individual
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Provider Name | HEATHER GLOVER FNP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2014
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 102 S EASTPOINTE AVE
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City | NASHVILLE
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State | NC
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Zip | 27856-1849
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Country | US
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Telephone | 252-459-4012
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Fax | 252-937-3101
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Provider Business Mailing Address
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Address Line | PO BOX 7200
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-0200
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Country | US
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Telephone | 252-459-4012
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Fax | 252-937-3101
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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 | 5007197
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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 | 5007197
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License Number State | NC
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