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General NPI Number Information
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NPI Number | 1265530745
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Entity Type | Individual
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Provider Name | BARBARA DAWN FULCHER MS,RN,CS,APRN,BC NP
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 301 ELM AVE SW
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City | ROANOKE
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State | VA
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Zip | 24016-4001
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Country | US
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Telephone | 540-345-9841
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Fax | 540-527-2900
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Provider Business Mailing Address
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Address Line | 301 ELM AVENUE SW BLUE RIDGE BEHAVIORAL HEALTH BURRELL CENTER
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City | ROANOKE
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State | VA
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Zip | 24012
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Country | US
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Telephone | 540-344-1723
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Fax | 540-266-9206
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024166629
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 0015000625
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License Number State | VA
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