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General NPI Number Information
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NPI Number | 1366305062
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Entity Type | Individual
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Provider Name | KELSEY BETH O'NEILL NP
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1150 PINE RUN DR
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City | LUMBERTON
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State | NC
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Zip | 28358-2189
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Country | US
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Telephone | 606-304-3784
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Fax |
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Provider Business Mailing Address
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Address Line | 22 GOLDEN KNIGHT TER
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City | CAMERON
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State | NC
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Zip | 28326-6378
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Country | US
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Telephone | 606-304-3784
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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 | 5023603
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License Number State | NC
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