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General NPI Number Information
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NPI Number | 1164099859
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Entity Type | Individual
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Provider Name | AUBREY MUNOZ
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Gender | Female
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 280 CHARLES H DIMMOCK PKWY STE 2
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-2940
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Country | US
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Telephone | 540-229-3159
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Fax |
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Provider Business Mailing Address
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Address Line | 118 MARBLERIDGE RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-2962
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Country | US
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Telephone | 540-229-3159
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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