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General NPI Number Information
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NPI Number | 1609902394
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Entity Type | Individual
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Provider Name | JANET B PELLETIER MSN RN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2832 NEUSE BLVD
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City | NEW BERN
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State | NC
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Zip | 28562-2839
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Country | US
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Telephone | 252-514-4770
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Fax | 252-514-4773
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Provider Business Mailing Address
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Address Line | 5410 TRADE WINDS RD
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City | NEW BERN
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State | NC
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Zip | 28560-9759
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Country | US
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Telephone | 252-635-3191
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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 | 147954
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License Number State | NC
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