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General NPI Number Information
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NPI Number | 1558473132
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Entity Type | Individual
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Provider Name | ELIZABETH MARIE MACPHERSON NP APRN BC
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 5603 DURALEIGH RD SUITE111
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City | RALEIGH
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State | NC
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Zip | 27612-2688
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Country | US
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Telephone | 919-791-0840
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Fax | 919-791-0840
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Provider Business Mailing Address
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Address Line | 860 PERRY RD
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City | APEX
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State | NC
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Zip | 27502-7701
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Country | US
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Telephone | 919-791-0840
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Fax | 919-791-0911
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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 | 5008584
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License Number State | NC
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