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General NPI Number Information
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NPI Number | 1699663708
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Entity Type | Individual
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Provider Name | JENNIFER LAURIA PIGFORD RN
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Gender | Female
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 1200 MURCHISON RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4298
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Country | US
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Telephone | 910-672-2892
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Fax |
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Provider Business Mailing Address
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Address Line | 103 CRESTVIEW RD
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City | RALEIGH
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State | NC
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Zip | 27609-4408
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Country | US
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Telephone | 919-349-3502
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 293131
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License Number State | NC
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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 | 5022501
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License Number State | NC
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