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General NPI Number Information
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NPI Number | 1942667027
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Entity Type | Individual
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Provider Name | EMILY LUCREZIA VENTRE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 1310 GLENN AVE
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City | KANNAPOLIS
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State | NC
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Zip | 28081-9601
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Country | US
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Telephone | 704-932-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 6627 WOODMONT PL
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City | CHARLOTTE
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State | NC
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Zip | 28211-5686
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Country | US
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Telephone | 980-418-4402
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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 | 5008303
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License Number State | NC
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