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General NPI Number Information
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NPI Number | 1669111449
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Entity Type | Individual
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Provider Name | RACHEL LAIRD THOMASSON FNP
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Gender | Female
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 3 REGIONAL CIR STE B
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City | PINEHURST
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State | NC
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Zip | 28374-9845
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Country | US
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Telephone | 910-215-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 331 JANNIE LN
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City | CARTHAGE
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State | NC
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Zip | 28327-7143
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Country | US
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Telephone | 910-354-8669
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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 | 5016259
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License Number State | NC
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