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General NPI Number Information
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NPI Number | 1831653229
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Entity Type | Individual
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Provider Name | DAIMISY SANDS NP
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Gender | Female
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Dates
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Enumeration Date | 01/30/2019
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 2511 OLD CORNWALLIS RD STE 200
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City | DURHAM
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State | NC
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Zip | 27713-1869
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Country | US
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Telephone | 919-932-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 606 CULMORE DR
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-3805
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Country | US
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Telephone | 305-490-3281
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5011402
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License Number State | NC
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