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General NPI Number Information
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NPI Number | 1316394406
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Entity Type | Individual
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Provider Name | TABITHA ALFORD FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 10 SUNNYBROOK RD
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City | RALEIGH
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State | NC
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Zip | 27610-1808
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Country | US
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Telephone | 919-250-3950
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Fax |
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Provider Business Mailing Address
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Address Line | 369 COLLINSWORTH DR
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City | CLAYTON
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State | NC
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Zip | 27527-3936
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Country | US
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Telephone | 919-744-4093
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Fax | 866-616-0686
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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 | 5008570
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License Number State | NC
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