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General NPI Number Information
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NPI Number | 1740469691
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Entity Type | Individual
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Provider Name | ANASTASIA J HERBERT FNP
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Gender | Female
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 1005 BIG OAK CT
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City | KNIGHTDALE
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State | NC
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Zip | 27545-6565
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Country | US
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Telephone | 919-266-5669
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Fax | 919-488-1717
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Provider Business Mailing Address
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Address Line | 260 HORIZON DR
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City | RALEIGH
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State | NC
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Zip | 27615-4922
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Country | US
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Telephone | 919-488-0015
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Fax | 919-277-0066
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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 | 183266
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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 | 183266
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License Number State | NC
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