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General NPI Number Information
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NPI Number | 1700428489
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Entity Type | Individual
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Provider Name | TAMMY MCDUFFIE FNP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2019
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Last Update Date | 10/14/2019
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Provider Practice Location Address
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Address Line | 741 PECAN GROVE LOOP
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City | HOPE MILLS
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State | NC
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Zip | 28348-8144
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Country | US
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Telephone | 910-797-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 741 PECAN GROVE LOOP
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City | HOPE MILLS
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State | NC
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Zip | 28348-8144
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2018084310
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License Number State | NC
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