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NPI 1275826646

NPI 1275826646 : LEE JACOB RULE NP : SPRUCE PINE, NC

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General NPI Number Information
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    NPI Number           |    1275826646
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    Entity Type          |    Individual 
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    Provider Name        |    LEE JACOB RULE NP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/18/2011
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    Last Update Date     |    08/23/2013
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Provider Practice Location Address
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    Address Line         |    125 HOSPITAL DR 
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    City                 |    SPRUCE PINE
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    State                |    NC
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    Zip                  |    28777-3035
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    Country              |    US
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    Telephone            |    828-766-3010
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    58 5TH AVE 
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28806-4103
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    Country              |    US
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    Telephone            |    
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    5005199
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    License Number State |    NC
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