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General NPI Number Information
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NPI Number | 1811502669
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Entity Type | Individual
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Provider Name | BRIELLE REYES DNP
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Gender | Female
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 600 NEW WAVERLY PL
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City | CARY
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State | NC
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Zip | 27518-7404
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Country | US
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Telephone | 561-350-2580
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 603949
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City | CHARLOTTE
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State | NC
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Zip | 28260-3949
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Country | US
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Telephone | 919-350-8000
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 5013592
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License Number State | NC
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