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General NPI Number Information
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NPI Number | 1508518101
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Entity Type | Individual
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Provider Name | BRITTANY CASSELL FARON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/25/2022
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 1100 REYNOLDS BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27105-3400
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Country | US
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Telephone | 336-896-4475
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Fax | 336-896-4481
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Provider Business Mailing Address
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Address Line | 198 JESSE KING RD
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City | ADVANCE
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State | NC
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Zip | 27006-8726
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Country | US
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Telephone | 276-920-4243
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 321603
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License Number State | NC
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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 | FARO-XAYDS
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License Number State | NC
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