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General NPI Number Information
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NPI Number | 1356464697
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Entity Type | Individual
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Provider Name | ELIZABETH C. NOWELL FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 1480 N MAIN ST STE A
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City | MADISON
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State | VA
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Zip | 22727-3093
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Country | US
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Telephone | 540-948-6743
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Fax | 540-948-4527
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Provider Business Mailing Address
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Address Line | PO BOX 9007
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22906-9007
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Country | US
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Telephone |
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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 | 0024165655
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License Number State | VA
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