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General NPI Number Information
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NPI Number | 1669371324
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Entity Type | Organization
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Legal Business Name | MERIDIAN BELLA VITA, PLLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 161 DOCK LANDING LOOP
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City | SOUTH MILLS
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State | NC
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Zip | 27976-9613
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Country | US
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Telephone | 252-202-6597
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Fax |
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Provider Business Mailing Address
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Address Line | 161 DOCK LANDING LOOP
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City | SOUTH MILLS
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State | NC
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Zip | 27976-9613
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Country | US
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Telephone | 252-202-6597
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANDREA B BRANDI
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Credential | FNP-BC
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Telephone | 252-202-6597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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