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General NPI Number Information
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NPI Number | 1316448277
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Entity Type | Individual
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Provider Name | ALLISON RAE WARD NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 10900 NUCKOLS RD STE 110
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City | GLEN ALLEN
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State | VA
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Zip | 23060-9246
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Country | US
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Telephone | 314-492-2412
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Fax |
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Provider Business Mailing Address
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Address Line | 10900 NUCKOLS RD STE 110
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City | GLEN ALLEN
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State | VA
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Zip | 23060-9246
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Country | US
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Telephone | 314-492-2412
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2017008073
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209016662
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5013863
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041442062
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2007023581
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License Number State | MO
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