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General NPI Number Information
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NPI Number | 1134509342
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Entity Type | Individual
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Provider Name | JOSEPH DONALD MCNAMARA MSN-FNP
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Gender | Male
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 1906 BELLEVIEW AVE SE EMERGENCY DEPARTMENT
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City | ROANOKE
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State | VA
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Zip | 24014
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Country | US
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Telephone | 540-206-8736
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Fax |
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Provider Business Mailing Address
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Address Line | 1906 BELLEVIEW AVE SE EMERGENCY DEPARTMENT
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City | ROANOKE
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State | VA
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Zip | 24014
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Country | US
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Telephone | 540-206-8736
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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 | RN.358703
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.17488-NP
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License Number State | OH
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