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General NPI Number Information
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NPI Number | 1801456397
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Entity Type | Individual
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Provider Name | AMANDA MARIE PABON APRN.CNP
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Gender | Female
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 4515 FALLS OF NEUSE RD STE 420
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City | RALEIGH
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State | NC
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Zip | 27609-6374
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Country | US
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Telephone | 919-877-9959
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Fax | 919-235-0770
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Provider Business Mailing Address
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Address Line | 4515 FALLS OF NEUSE RD STE 420
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City | RALEIGH
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State | NC
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Zip | 27609-6374
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Country | US
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Telephone | 919-877-9959
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Fax | 919-235-0770
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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 | APRN.CNP.024136
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License Number State | OH
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