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General NPI Number Information
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NPI Number | 1700184348
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Entity Type | Individual
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Provider Name | HEATHER BARKER PETERS NP
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Gender | Female
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Dates
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Enumeration Date | 03/07/2011
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 17 EAST BUCK MOUNTAIN ROAD
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City | WEST JEFFERSON
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State | NC
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Zip | 28694
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Country | US
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Telephone | 336-646-7442
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Fax | 336-844-2108
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Provider Business Mailing Address
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Address Line | PO BOX 924
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City | WEST JEFFERSON
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State | NC
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Zip | 28694-0924
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Country | US
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Telephone | 336-646-7442
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Fax | 336-844-2108
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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 | 5005072
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License Number State | NC
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