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General NPI Number Information
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NPI Number | 1427210517
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Entity Type | Individual
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Provider Name | MARY DARDEN MCLEOD NPC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 08/23/2010
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Provider Practice Location Address
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Address Line | 321 MULBERRY ST SW EMPLOYEE FIRST CLINIC
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City | LENOIR
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State | NC
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Zip | 28645-5720
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Country | US
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Telephone | 828-757-5508
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Fax | 828-757-6141
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Provider Business Mailing Address
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Address Line | PO BOX 1890 321 MULBERRY STREET
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City | LENOIR
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State | NC
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Zip | 28645-1890
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Country | US
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Telephone | 828-757-5508
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Fax | 828-757-6141
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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 | 193347
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License Number State | NC
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