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General NPI Number Information
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NPI Number | 1629987797
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Entity Type | Individual
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Provider Name | BLANCA ESMERALDA REYES FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 603 BEAMAN ST STE 100
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City | CLINTON
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State | NC
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Zip | 28328-2695
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Country | US
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Telephone | 910-590-8050
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Fax | 910-596-5420
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Provider Business Mailing Address
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Address Line | 3873 NEEDMORE RD
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City | TURKEY
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State | NC
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Zip | 28393-8615
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Country | US
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Telephone | 910-337-0892
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 277139
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License Number State | NC
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