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General NPI Number Information
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NPI Number | 1346532397
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Entity Type | Individual
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Provider Name | TARA ANN WALHART NP-C
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Gender | Female
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 400 MILLSTONE DR STE 100
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City | HILLSBOROUGH
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State | NC
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Zip | 27278
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Country | US
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Telephone | 919-245-3247
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Fax |
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Provider Business Mailing Address
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Address Line | 223 VALLEY PARK DR APT 2
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City | CHAPEL HILL
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State | NC
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Zip | 27514-3321
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Country | US
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Telephone | 919-843-6134
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 302356
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP20503
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License Number State | CA
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