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General NPI Number Information
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NPI Number | 1942089875
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Entity Type | Individual
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Provider Name | KATHRYN SNIDER RICHARDSON MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/28/2023
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 8504 SIX FORKS RD STE 202
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City | RALEIGH
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State | NC
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Zip | 27615-3265
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Country | US
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Telephone | 919-999-4144
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Fax |
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Provider Business Mailing Address
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Address Line | 165 SPRINGSIDE DR
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City | SPRING LAKE
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State | NC
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Zip | 28390-9650
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Country | US
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Telephone | 931-494-7179
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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 | 5016948
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License Number State | NC
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