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General NPI Number Information
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NPI Number | 1336078401
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Entity Type | Individual
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Provider Name | REINALDO BORGES DE SOUZA RN
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Gender | Male
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 800 TILGHMAN DR
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City | DUNN
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State | NC
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Zip | 28334-5510
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Country | US
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Telephone | 910-827-0602
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Fax |
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Provider Business Mailing Address
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Address Line | 222 W DOVE RIDGE LN
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City | SPRING LAKE
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State | NC
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Zip | 28390-9106
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Country | US
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Telephone | 910-827-0602
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 383251
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License Number State | NC
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