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General NPI Number Information
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NPI Number | 1508245838
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Entity Type | Individual
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Provider Name | ROD LANCE ATKINS ARNP
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Gender | Male
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 2340 SPRING FOREST RD # 2313
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City | RALEIGH
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State | NC
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Zip | 27615-7528
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Country | US
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Telephone | 919-790-6401
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Fax |
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Provider Business Mailing Address
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Address Line | 2340 SPRING FOREST RD # 2313
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City | RALEIGH
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State | NC
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Zip | 27615-7528
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Country | US
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Telephone | 919-790-6401
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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 | 3247082
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP3247082
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 505017588
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License Number State | NC
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