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General NPI Number Information
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NPI Number | 1386391373
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Entity Type | Individual
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Provider Name | SASHA CAIRON BURDETTE MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 8316 PINEVILLE MATTHEWS RD STE 803
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City | CHARLOTTE
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State | NC
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Zip | 28226-4754
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Country | US
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Telephone | 980-296-2833
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Fax |
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Provider Business Mailing Address
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Address Line | 17300 HAMPTON TRACE RD
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-6545
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Country | US
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Telephone | 704-516-1031
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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 | 5015894
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License Number State | NC
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