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General NPI Number Information
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NPI Number | 1245928365
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Entity Type | Organization
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Legal Business Name | INDUSTRIAL HEALTH AND WELLNESS PLLC
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 5842 ALLIN RD STE A
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City | PRINCE GEORGE
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State | VA
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Zip | 23875-2363
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Country | US
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Telephone | 804-895-6131
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Fax | 804-895-6183
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Provider Business Mailing Address
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Address Line | 5842 ALLIN RD STE A
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City | PRINCE GEORGE
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State | VA
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Zip | 23875-2363
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Country | US
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Telephone | 804-895-6131
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Fax | 804-895-6183
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Authorized Official
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Title or Position | OWNER
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Name | KIM PARRISH DOBSON FNP
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Credential | FNP APRN
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Telephone | 804-895-6131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number |
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License Number State |
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