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General NPI Number Information
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NPI Number | 1366760159
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Entity Type | Individual
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Provider Name | AMY PIKE
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Gender | Female
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 7780 BRIER CREEK PKWY STE 230
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City | RALEIGH
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State | NC
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Zip | 27617-7850
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Country | US
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Telephone | 919-233-8885
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Fax |
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Provider Business Mailing Address
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Address Line | 8405 BILLINGSWORTH WAY
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City | RALEIGH
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State | NC
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Zip | 27613-6985
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5004723
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License Number State | NC
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