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General NPI Number Information
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NPI Number | 1336075019
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Entity Type | Individual
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Provider Name | AUDRIANNA STAFFORD WHNP
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Gender | Female
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 460 COUNTRY CLUB RD
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City | LUMBERTON
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State | NC
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Zip | 28360-9494
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Country | US
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Telephone | 910-671-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 3914 NEWGATE ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28306-7485
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | STAF-USLMW
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License Number State | NC
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