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General NPI Number Information
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NPI Number | 1285393207
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Entity Type | Individual
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Provider Name | CHARLES TRAVIS PIPES FNP-C
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Gender | Male
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Dates
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Enumeration Date | 12/17/2021
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 2537 US HIGHWAY 70 SE
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City | HICKORY
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State | NC
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Zip | 28602-8302
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Country | US
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Telephone | 828-267-6444
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Fax |
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Provider Business Mailing Address
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Address Line | 104 TIMBER RIDGE DR
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City | LENOIR
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State | NC
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Zip | 28645-8483
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Country | US
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Telephone | 828-228-9390
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5015258
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License Number State | NC
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