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General NPI Number Information
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NPI Number | 1013582931
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Entity Type | Individual
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Provider Name | LAURIE NELSON-LESTER NP-C
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Gender | Female
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Dates
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Enumeration Date | 05/24/2021
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 2013 JEFFERSON ST SW FL 2
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City | ROANOKE
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State | VA
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Zip | 24014-2419
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Country | US
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Telephone | 540-982-0237
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Fax |
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Provider Business Mailing Address
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Address Line | 163 PATSEL CT
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City | HARDY
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State | VA
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Zip | 24101-2512
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Country | US
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Telephone | 540-588-1449
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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 | 0024182066
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License Number State | VA
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