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General NPI Number Information
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NPI Number | 1679617690
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Entity Type | Individual
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Provider Name | ELIZABETH BRADFORD REEVES FNP
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 155 LIVINGSTON ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-4351
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Country | US
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Telephone | 828-259-5339
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Fax | 828-259-5316
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Provider Business Mailing Address
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Address Line | 460 LYNN COVE RD
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City | ASHEVILLE
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State | NC
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Zip | 28804-1917
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Country | US
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Telephone | 828-254-9431
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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 | 200972
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License Number State | NC
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