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General NPI Number Information
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NPI Number | 1932489069
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Entity Type | Individual
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Provider Name | LAYNE COX WEAVER RN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/20/2011
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 1427A NC HIGHWAY 68 N
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City | OAK RIDGE
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State | NC
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Zip | 27310-9768
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Country | US
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Telephone | 336-644-6770
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Fax |
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Provider Business Mailing Address
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Address Line | 8304 BURCHLAWN CT
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City | COLFAX
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State | NC
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Zip | 27235-8713
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Country | US
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Telephone | 336-392-8829
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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 | 5005251
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License Number State | NC
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