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General NPI Number Information
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NPI Number | 1285693341
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Entity Type | Individual
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Provider Name | LEA PALMER HOAK PMHCNS- BC
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Gender | Female
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Dates
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Enumeration Date | 03/18/2006
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Last Update Date | 10/15/2010
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Provider Practice Location Address
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Address Line | 214 S BRADDOCK ST
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City | WINCHESTER
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State | VA
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Zip | 22601-4043
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Country | US
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Telephone | 540-533-1187
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Fax | 888-387-5457
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Provider Business Mailing Address
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Address Line | 214 S BRADDOCK ST
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City | WINCHESTER
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State | VA
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Zip | 22601-4043
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Country | US
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Telephone | 540-533-1187
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Fax | 888-387-5457
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 0015000404
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License Number State | VA
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