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General NPI Number Information
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NPI Number | 1619447190
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Entity Type | Individual
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Provider Name | HAILEY JOAN KILBY SLATTUM NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/28/2018
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 51 OFFICE PARK DR
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City | JACKSONVILLE
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State | NC
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Zip | 28546-7327
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Country | US
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Telephone | 910-577-5199
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Fax |
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Provider Business Mailing Address
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Address Line | 51 OFFICE PARK DR
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City | JACKSONVILLE
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State | NC
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Zip | 28546-7327
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Country | US
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Telephone | 910-577-5199
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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 | 202108775NP-PP
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License Number State | OR
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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 | APRN-176198
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.0003059-C-NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5011252
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61219628
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12231509-4405
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License Number State | UT
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 64130
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License Number State | ID
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