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NPI 1811310659

NPI 1811310659 : MARGO TIPPENS RAWLINGS RN : HENDERSON, NC

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General NPI Number Information
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    NPI Number           |    1811310659
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    Entity Type          |    Individual 
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    Provider Name        |    MARGO TIPPENS RAWLINGS RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/30/2014
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    Last Update Date     |    01/30/2014
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Provider Practice Location Address
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    Address Line         |    943 W ANDREWS AVE STE H 
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    City                 |    HENDERSON
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    State                |    NC
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    Zip                  |    27536-2562
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    Country              |    US
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    Telephone            |    252-433-0061
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    Fax                  |    252-433-0065
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Provider Business Mailing Address
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    Address Line         |    284 EXECUTIVE PARK DR SUITE 100
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    City                 |    CONCORD
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    State                |    NC
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    Zip                  |    28025-1831
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    Country              |    US
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    Telephone            |    704-939-1100
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    153071
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    License Number State |    NC
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