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General NPI Number Information
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NPI Number | 1356466627
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Entity Type | Individual
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Provider Name | PAIGE S HOUSER FNP
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 12/12/2014
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Provider Practice Location Address
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Address Line | 320 S 5TH ST
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City | WILMINGTON
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State | NC
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Zip | 28401-4519
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Country | US
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Telephone | 910-343-8736
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Fax | 910-343-1293
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Provider Business Mailing Address
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Address Line | PO BOX 2232
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City | SURF CITY
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State | NC
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Zip | 28445-0019
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Country | US
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Telephone | 910-763-1445
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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 | 28378
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License Number State | NC
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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 | 200695
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License Number State | NC
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