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General NPI Number Information
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NPI Number | 1376964577
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Entity Type | Individual
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Provider Name | SHARON RISING WILKERSON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/16/2013
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Last Update Date | 12/23/2020
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Provider Practice Location Address
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Address Line | 10195 BEACH DR SW STE 5
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City | CALABASH
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State | NC
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Zip | 28467-2757
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Country | US
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Telephone | 910-575-0884
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Fax | 910-575-0197
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Provider Business Mailing Address
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Address Line | 10195 BEACH DR SW STE 5
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City | CALABASH
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State | NC
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Zip | 28467-2757
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Country | US
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Telephone | 910-575-0884
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Fax | 910-575-0197
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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 | 5006657
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 5006657
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License Number State | NC
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