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General NPI Number Information
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NPI Number | 1598809089
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Entity Type | Individual
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Provider Name | PRISCILLA ANNE NARAIN PA
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 1415 PHYSICIANS DR
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City | WILMINGTON
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State | NC
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Zip | 28401-7338
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Country | US
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Telephone | 910-662-9500
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Fax | 910-662-9501
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Provider Business Mailing Address
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Address Line | PO BOX 936857
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City | ATLANTA
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State | GA
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Zip | 31193-6857
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Country | US
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Telephone | 910-662-9500
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Fax | 109-662-9501
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-09309
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License Number State | NC
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