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General NPI Number Information
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NPI Number | 1548375918
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Entity Type | Individual
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Provider Name | BEVERLY CAROL NECESSARY FNP-BC, AOCNP
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Gender | Female
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 11200 GOVERNOR MANLY WAY SUITE 102
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City | RALEIGH
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State | NC
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Zip | 27614-8599
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Country | US
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Telephone | 919-570-7550
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Fax | 919-570-7551
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Provider Business Mailing Address
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Address Line | 11200 GOVERNOR MANLY WAY SUITE 102
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City | RALEIGH
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State | NC
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Zip | 27614-8599
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Country | US
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Telephone | 919-570-7550
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Fax | 919-570-7551
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0050 00707
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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 | 5000707
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License Number State | NC
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