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General NPI Number Information
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NPI Number | 1689286635
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Entity Type | Individual
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Provider Name | JULIE BEASLEY HERIOT FNP
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Gender | Female
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 2800 BLUE RIDGE RD STE 201
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City | RALEIGH
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State | NC
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Zip | 27607-6477
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Country | US
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Telephone | 919-784-1321
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Fax | 919-784-7111
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Provider Business Mailing Address
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Address Line | 4204 SIX FORKS RD APT 3200
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City | RALEIGH
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State | NC
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Zip | 27609-6451
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Country | US
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Telephone |
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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 | RN245382
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License Number State | GA
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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 | 5020813
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License Number State | NC
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