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General NPI Number Information
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NPI Number | 1861420549
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Entity Type | Individual
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Provider Name | HOLLY IDOL TURBYFILL NP
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 2203 EASTCHESTER DR STE 105
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City | HIGH POINT
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State | NC
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Zip | 27265-1519
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Country | US
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Telephone | 336-880-2419
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Fax | 949-437-8484
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Provider Business Mailing Address
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Address Line | PO BOX 667
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City | TRINITY
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State | NC
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Zip | 27370-0667
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Country | US
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Telephone | 336-880-2419
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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 | 0050-01817
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License Number State | NC
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