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General NPI Number Information
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NPI Number | 1699244525
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Entity Type | Individual
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Provider Name | ELIZABETH DEVORE NP
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Gender | Female
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Dates
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Enumeration Date | 11/20/2018
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 40 DUKE MEDICINE CIRCLE CLINIC IL
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City | DURHAM
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State | NC
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Zip | 27710-0001
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Country | US
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Telephone | 919-668-7600
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Fax |
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Provider Business Mailing Address
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Address Line | DUKE UNIVERSITY SCHOOL OF MEDICINE DUMC 2900
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City | DURHAM
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State | NC
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Zip | 27710-0001
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5010570
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 5010570
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License Number State | NC
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