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General NPI Number Information
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NPI Number | 1376358150
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Entity Type | Individual
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Provider Name | KELSEY SAIN POOLE CNS
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Gender | Female
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 3000 NEW BERN AVE OFC 2E142
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City | RALEIGH
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State | NC
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Zip | 27610-1295
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Country | US
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Telephone | 919-350-5490
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Fax |
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Provider Business Mailing Address
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Address Line | 6602 PERRY CREEK RD
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City | RALEIGH
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State | NC
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Zip | 27616-6691
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Country | US
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Telephone | 919-816-5681
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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 | 364SC0200X
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Taxonomy Name | Critical Care Medicine Clinical Nurse Specialist
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License Number | 595
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License Number State | NC
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