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General NPI Number Information
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NPI Number | 1356024178
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Entity Type | Individual
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Provider Name | MARY CONAWAY HUNGERFORD PNP-PC
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Gender | Female
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Dates
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Enumeration Date | 08/09/2023
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 11551 NUCKOLS RD STE F
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5565
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Country | US
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Telephone | 804-364-4400
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Fax | 804-364-0120
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Provider Business Mailing Address
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Address Line | 338 RUNNING CEDAR TRL
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City | MANAKIN SABOT
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State | VA
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Zip | 23103-3314
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Country | US
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Telephone | 804-773-9934
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 0024187719
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License Number State | VA
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