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General NPI Number Information
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NPI Number | 1497524524
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Entity Type | Organization
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Legal Business Name | INFINITY AND WELLNESS FAMILY PRACTICE, PLLC
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Dates
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Enumeration Date | 12/29/2023
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1007 WOODRIDGE DR STE A
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City | LUMBERTON
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State | NC
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Zip | 28358-3328
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Country | US
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Telephone | 910-887-2041
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Fax | 910-887-2048
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Provider Business Mailing Address
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Address Line | 1007 WOODRIDGE DR STE A
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City | LUMBERTON
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State | NC
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Zip | 28358-3328
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Country | US
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Telephone | 910-887-2041
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Fax | 910-887-2048
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Authorized Official
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Title or Position | NP/OWNER
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Name | NATALIE HUNT LOCKLEAR
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Credential | NP-C
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Telephone | 910-887-2041
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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 |
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License Number State |
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