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General NPI Number Information
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NPI Number | 1972398428
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Entity Type | Individual
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Provider Name | BIANCA DENISE WADE RN
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Gender | Female
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 1007 WALKER AVE
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City | GREENSBORO
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State | NC
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Zip | 27412-0001
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Country | US
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Telephone | 336-334-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 WILLOW BRIDGE CT
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City | CHARLOTTE
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State | NC
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Zip | 28216-8849
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Country | US
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Telephone | 803-210-7812
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 304499
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License Number State | NC
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