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General NPI Number Information
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NPI Number | 1174102834
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Entity Type | Organization
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Legal Business Name | A FAMILY CARE CLINIC
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 7346 MCGAHEYSVILLE RD
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City | PENN LAIRD
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State | VA
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Zip | 22846-9777
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Country | US
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Telephone | 540-414-8495
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Fax | 540-952-2223
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Provider Business Mailing Address
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Address Line | 7346 MCGAHEYSVILLE RD
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City | PENN LAIRD
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State | VA
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Zip | 22846-9777
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Country | US
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Telephone | 540-414-8495
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Fax | 540-952-2223
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Authorized Official
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Title or Position | OWNER/FNP
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Name | AMY ELIZABETH KUBLER
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Credential |
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Telephone | 540-414-8495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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