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General NPI Number Information
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NPI Number | 1942269808
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Entity Type | Organization
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Legal Business Name | TOPSAIL FAMILY MEDICINE AND URGENT CARE,PLLC
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 10/04/2011
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Provider Practice Location Address
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Address Line | 16747 US HIGHWAY 17 N STE 114
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City | HAMPSTEAD
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State | NC
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Zip | 28443-3086
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Country | US
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Telephone | 910-270-0052
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Fax | 910-270-0660
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Provider Business Mailing Address
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Address Line | 16747 US HIGHWAY 17 N STE 114
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City | HAMPSTEAD
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State | NC
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Zip | 28443-3086
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Country | US
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Telephone | 910-270-0052
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Fax | 910-270-0660
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Authorized Official
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Title or Position | OWNER, F.N.P.
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Name | SONDRA LOUISE MCKELLAR
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Credential | F.N.P.
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Telephone | 910-270-0052
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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 | 57246
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License Number State | NC
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