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General NPI Number Information
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NPI Number | 1275348781
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Entity Type | Individual
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Provider Name | DOLLY LINDA EBROTTIE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2809 NORTH AVE
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City | RICHMOND
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State | VA
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Zip | 23222-3647
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Country | US
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Telephone | 804-780-0840
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Fax |
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Provider Business Mailing Address
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Address Line | 910 GODDIN ST APT 218
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City | RICHMOND
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State | VA
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Zip | 23231-3208
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Country | US
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Telephone | 346-529-4090
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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 | 0024194497
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License Number State | VA
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