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General NPI Number Information
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NPI Number | 1316570237
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Entity Type | Individual
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Provider Name | LISA S ATKINS FNP
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Gender | Female
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 1200 S MILITARY HWY
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2251
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Country | US
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Telephone | 757-424-5778
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Fax |
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Provider Business Mailing Address
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Address Line | 5020 KINGS GRANT CIR
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City | SUFFOLK
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State | VA
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Zip | 23434-7295
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Country | US
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Telephone | 757-329-0480
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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 | 0024178906
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License Number State | VA
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