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General NPI Number Information
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NPI Number | 1912819202
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Entity Type | Individual
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Provider Name | VANESSA PANG RN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 1230 SE MAYNARD RD STE 201
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City | CARY
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State | NC
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Zip | 27511-6945
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Country | US
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Telephone | 980-428-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 4208 BUMPHUS RD
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City | CHAPEL HILL
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State | NC
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Zip | 27514-9538
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Country | US
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Telephone | 980-428-1500
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 287073
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-301089
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License Number State | NC
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