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General NPI Number Information
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NPI Number | 1467919613
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Entity Type | Individual
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Provider Name | ANKITA PATEL FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 1235 RAMSEY ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4401
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Country | US
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Telephone | 910-433-3630
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Fax |
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Provider Business Mailing Address
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Address Line | 219 IVY STONE DR
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City | RAEFORD
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State | NC
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Zip | 28376-7386
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Country | US
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Telephone | 215-666-3727
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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 | 5011509
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License Number State | NC
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