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General NPI Number Information
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NPI Number | 1194238576
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Entity Type | Individual
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Provider Name | ERIN M DEIBEL AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 3974 SPRINGFIELD RD STE A
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City | GLEN ALLEN
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State | VA
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Zip | 23060-4119
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Country | US
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Telephone | 513-405-7445
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Fax |
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Provider Business Mailing Address
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Address Line | 416 SEPTEMBER DR
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City | HENRICO
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State | VA
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Zip | 23229-7318
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Country | US
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Telephone | 513-405-7445
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024175051
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License Number State | VA
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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 | 0024175051
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024175051
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024175051
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License Number State | VA
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