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General NPI Number Information
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NPI Number | 1427847367
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Entity Type | Individual
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Provider Name | RAKITRA MONIQUE WIGGINS FNP
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Gender | Female
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 312 WARREN AVE
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City | KINSTON
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State | NC
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Zip | 28501-3840
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Country | US
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Telephone | 252-523-0082
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Fax |
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Provider Business Mailing Address
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Address Line | 105 SHELDRAKE WAY
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City | FOUR OAKS
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State | NC
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Zip | 27524-7252
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Country | US
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Telephone | 252-370-5577
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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 | 5022108
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License Number State | NC
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