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General NPI Number Information
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NPI Number | 1831928803
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Entity Type | Organization
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Legal Business Name | AVERY WELLNESS PLLC
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 137 NOTALEE ST
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City | NEWLAND
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State | NC
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Zip | 28657-9573
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Country | US
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Telephone | 828-397-9334
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Fax | 828-373-9218
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Provider Business Mailing Address
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Address Line | PO BOX 2
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City | NEWLAND
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State | NC
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Zip | 28657-0002
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA STORER
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Credential | DNP, FNP-C, PMHNP-BC
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Telephone | 828-397-9334
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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 |
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License Number State |
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