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General NPI Number Information
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NPI Number | 1538014311
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Entity Type | Individual
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Provider Name | HALYN BLACKBURN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 703 SAINT JOSEPH ST UNIT 101
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City | CAROLINA BEACH
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State | NC
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Zip | 28428-3857
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Country | US
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Telephone | 910-877-8559
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Fax |
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Provider Business Mailing Address
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Address Line | 128 LIGHTHOUSE DR
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City | CAROLINA BEACH
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State | NC
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Zip | 28428-4725
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Country | US
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Telephone | 910-877-8559
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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 | F02260495
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License Number State | NC
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