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General NPI Number Information
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NPI Number | 1770302424
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Entity Type | Organization
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Legal Business Name | MAJESTIC HEALTH WELLNESS AND WOMENS CARE
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 9360 FALLS OF NEUSE RD STE 105
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City | RALEIGH
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State | NC
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Zip | 27615-2485
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Country | US
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Telephone | 919-414-4689
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Fax |
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Provider Business Mailing Address
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Address Line | 2109 OLD ROSEBUD DR
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City | KNIGHTDALE
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State | NC
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Zip | 27545-6105
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Country | US
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Telephone | 919-414-4689
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KATOYA YVETTE MUDD WRIGHT
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Credential | FNP-BC
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Telephone | 919-414-4689
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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 |
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License Number State |
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