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General NPI Number Information
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NPI Number | 1750261509
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Entity Type | Individual
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Provider Name | ANNETTA COX RN
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Gender | Female
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 312 N MYERS ST APT 113
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City | CHARLOTTE
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State | NC
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Zip | 28202-3042
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Country | US
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Telephone | 980-279-6405
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Fax |
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Provider Business Mailing Address
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Address Line | 5009 BEATTIES FORD RD STE 107218
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City | CHARLOTTE
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State | NC
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Zip | 28216-2859
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Country | US
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Telephone | 980-279-6405
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 219192
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License Number State | NC
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