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General NPI Number Information
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NPI Number | 1598574022
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Entity Type | Individual
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Provider Name | MARIA DESPRES NP
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Gender | Female
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 23 SUNNYBROOK RD
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City | RALEIGH
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State | NC
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Zip | 27610-1855
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Country | US
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Telephone | 919-235-6435
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Fax | 919-231-0314
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Provider Business Mailing Address
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Address Line | 3601 LONG TOWNSEND AVE
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-3226
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Country | US
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Telephone | 781-484-6148
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 5021534
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License Number State | NC
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