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General NPI Number Information
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NPI Number | 1790509073
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Entity Type | Individual
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Provider Name | LILY ESTELLE MCHUGH WHNP
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Gender | Female
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 3010 MAPLEWOOD AVE
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City | WINSTON SALEM
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State | NC
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Zip | 27103-4019
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Country | US
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Telephone | 336-768-2980
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Fax |
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Provider Business Mailing Address
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Address Line | 3010 MAPLEWOOD AVE
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City | WINSTON SALEM
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State | NC
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Zip | 27103-4019
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Country | US
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Telephone |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 5021266
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 341878
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License Number State | NC
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