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General NPI Number Information
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NPI Number | 1326234097
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Entity Type | Individual
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Provider Name | BEVLIN REGENIA DUNCAN DNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 12304 CORVUS RD
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City | RALEIGH
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State | NC
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Zip | 27614-6541
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Country | US
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Telephone | 609-206-2583
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Fax |
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Provider Business Mailing Address
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Address Line | 12304 CORVUS RD
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City | RALEIGH
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State | NC
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Zip | 27614-6541
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Country | US
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Telephone | 609-206-2583
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ00141700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0002870-C-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5008547
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License Number State | NC
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