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General NPI Number Information
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NPI Number | 1376080291
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Entity Type | Individual
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Provider Name | CANDY THORPE CNP
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Gender | Female
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 1880 QUIET CV
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3857
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Country | US
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Telephone | 910-323-2477
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Fax | 910-323-5931
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Provider Business Mailing Address
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Address Line | 2300 MANCHESTER EXPY STE 2001A
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City | COLUMBUS
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State | GA
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Zip | 31904-6802
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Country | US
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Telephone | 706-320-3126
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Fax | 706-320-3054
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.020477
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.381762
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5013774
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License Number State | NC
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