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General NPI Number Information
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NPI Number | 1730505850
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Entity Type | Organization
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Legal Business Name | DR ARNETTE O EVERETT FAMILY PRACTICE
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 06/19/2014
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Provider Practice Location Address
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Address Line | 502 MCKNIGHT DR SUITE 100
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City | KNIGHTDALE
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State | NC
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Zip | 27545-7050
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Country | US
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Telephone | 919-760-9304
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Fax |
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Provider Business Mailing Address
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Address Line | 502 MCKNIGHT DR SUITE 100
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City | KNIGHTDALE
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State | NC
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Zip | 27545-7050
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Country | US
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Telephone | 919-760-9304
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Fax |
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Authorized Official
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Title or Position | DNP, FNP-BC
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Name | DR. ARNETTE OLIVIA EVERETT
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Credential | DNP, FNP-BC
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Telephone | 919-760-9304
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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 | 5004744
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License Number State | NC
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