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General NPI Number Information
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NPI Number | 1730065251
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Entity Type | Individual
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Provider Name | HANNA SCARLETT FNP
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 111 HANESTOWN CT STE 151
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City | WINSTON SALEM
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State | NC
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Zip | 27103-1749
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Country | US
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Telephone | 336-765-9350
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Fax |
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Provider Business Mailing Address
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Address Line | 119 ELI AVE
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City | MOCKSVILLE
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State | NC
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Zip | 27028-2958
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Country | US
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Telephone | 828-455-4225
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 304398
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5022835
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License Number State | NC
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