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General NPI Number Information
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NPI Number | 1689560849
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Entity Type | Individual
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Provider Name | CHRISTY WOOLARD HOUSE FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 800 PARK ST
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City | WILLIAMSTON
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State | NC
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Zip | 27892-2769
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Country | US
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Telephone | 252-793-7690
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Fax |
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Provider Business Mailing Address
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Address Line | 958 US HIGHWAY 64 E
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City | PLYMOUTH
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State | NC
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Zip | 27962-9216
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Country | US
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Telephone | 252-793-4135
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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 | 5022377
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License Number State | NC
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