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General NPI Number Information
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NPI Number | 1952368995
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Entity Type | Individual
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Provider Name | DEBRA BOYETTE TRIPP FNP
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Gender | Female
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2303 WELLINGTON DR SW SUITE A
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City | WILSON
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State | NC
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Zip | 27893-8620
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Country | US
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Telephone | 252-237-5090
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Fax | 252-291-0393
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Provider Business Mailing Address
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Address Line | 4320 GEORGETOWN DR N
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City | WILSON
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State | NC
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Zip | 27896-8142
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Country | US
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Telephone | 252-237-5136
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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 | 200853
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License Number State | NC
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