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General NPI Number Information
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NPI Number | 1255624037
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Entity Type | Individual
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Provider Name | VERONICA DELATORRE PORTERFIELD PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 7051 HEATHCOTE VILLAGE WAY STE 155
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City | GAINESVILLE
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State | VA
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Zip | 20155-3268
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Country | US
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Telephone | 571-248-0167
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Fax | 571-248-0173
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Provider Business Mailing Address
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Address Line | 1 PARK WEST CIR STE 301
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-4518
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Country | US
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Telephone | 804-893-3920
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Fax | 804-858-0101
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | NU100000138
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110007053
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License Number State | VA
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