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General NPI Number Information
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NPI Number | 1336664689
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Entity Type | Individual
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Provider Name | KELLY GATES ARMBRUSTER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 08/08/2017
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Provider Practice Location Address
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Address Line | 1004 OLD DENBIGH BLVD
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-2017
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Country | US
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Telephone | 757-886-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 309 FRANCES THACKER
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-8238
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Country | US
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Telephone | 757-634-1140
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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 | 0024175115
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License Number State | VA
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