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General NPI Number Information
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NPI Number | 1306645353
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Entity Type | Individual
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Provider Name | AMBER MAE MARCHIO AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 18 DOCTORS CIR
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City | SUPPLY
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State | NC
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Zip | 28462-1101
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Country | US
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Telephone | 910-754-6141
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Fax |
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Provider Business Mailing Address
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Address Line | 1953 ISLAND PINE WAY
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City | LELAND
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State | NC
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Zip | 28451-4220
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Country | US
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Telephone | 603-834-2895
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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 | 5021755
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License Number State | NC
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