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General NPI Number Information
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NPI Number | 1982588786
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Entity Type | Individual
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Provider Name | VICTORIA MORGAN SANDERSON
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Gender |
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 325 NC-55 WEST
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City | MOUNT OLIVE
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State | NC
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Zip | 28365-1203
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Country | US
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Telephone | 919-658-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 148 TAPP FARM RD
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City | PINK HILL
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State | NC
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Zip | 28572-7928
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Country | US
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Telephone | 252-560-7940
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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 | 5022718
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License Number State | NC
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