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General NPI Number Information
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NPI Number | 1215921911
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Entity Type | Individual
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Provider Name | LIISA K FIELD PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/08/2005
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 1200 SUNSET LN STE 2210
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City | CULPEPER
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State | VA
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Zip | 22701-3376
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Country | US
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Telephone | 540-825-6100
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Fax | 540-825-1829
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Provider Business Mailing Address
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Address Line | PO BOX 9007
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22906-9007
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0110006233
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110006233
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License Number State | VA
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