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General NPI Number Information
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NPI Number | 1841262219
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Entity Type | Individual
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Provider Name | JOSEPH ANTHONY MARCANTEL ARNP
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Gender | Male
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 502 CACTUS CT
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City | POLLOCKSVILLE
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State | NC
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Zip | 28573-8400
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Country | US
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Telephone | 252-288-4458
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Fax |
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Provider Business Mailing Address
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Address Line | 502 CACTUS CT
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City | POLLOCKSVILLE
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State | NC
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Zip | 28573-8400
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Country | US
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Telephone | 252-571-1010
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5009899
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License Number State | NC
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