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General NPI Number Information
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NPI Number | 1689489577
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Entity Type | Individual
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Provider Name | ANWESHA PAUTSCH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 5720 CREEDMOOR RD STE 200
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City | RALEIGH
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State | NC
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Zip | 27612-2382
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Country | US
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Telephone | 919-277-0345
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Fax |
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Provider Business Mailing Address
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Address Line | 804 HOLLY THORN TRCE
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-7585
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Country | US
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Telephone | 919-961-0724
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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 | 283386
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License Number State | NC
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