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General NPI Number Information
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NPI Number | 1831857895
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Entity Type | Individual
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Provider Name | TSEDAY TSEGAYE SIME FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 513 OWEN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3433
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Country | US
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Telephone | 323-945-3961
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Fax | 971-350-1536
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Provider Business Mailing Address
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Address Line | 112 SUTTON ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-4750
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Country | US
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Telephone | 323-945-3961
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Fax | 971-350-1536
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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 | 5015858
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License Number State | NC
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