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General NPI Number Information
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NPI Number | 1033365499
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Entity Type | Organization
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Legal Business Name | NURSE FACILITATORS, INC.
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Dates
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Enumeration Date | 08/15/2008
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Last Update Date | 08/15/2008
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Provider Practice Location Address
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Address Line | 452 LAKESIDE DR
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City | DANVILLE
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State | VA
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Zip | 24540-1893
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Country | US
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Telephone | 434-728-0478
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Fax | 434-836-2826
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Provider Business Mailing Address
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Address Line | 452 LAKESIDE DR
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City | DANVILLE
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State | VA
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Zip | 24540-1893
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Country | US
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Telephone | 434-728-0478
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Fax | 434-836-2826
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Authorized Official
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Title or Position | VIRGINIA WAIVER SERVICE FACILITATOR
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Name | MRS. GAYLE B BURNETTE
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Credential | RN
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Telephone | 434-728-0478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 0001093048
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License Number State | VA
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