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General NPI Number Information
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NPI Number | 1265982136
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Entity Type | Individual
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Provider Name | NORA M BALKE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/04/2016
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 780 LYNNHAVEN PKWY STE 405A
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7332
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Country | US
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Telephone | 757-204-5859
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Fax |
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Provider Business Mailing Address
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Address Line | 3881 SHERMAN OAKS AVE
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-5751
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Country | US
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Telephone | 414-801-2126
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024174074
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0001208227
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License Number State | VA
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