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General NPI Number Information
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NPI Number | 1356504856
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Entity Type | Individual
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Provider Name | MATTHEW JOSEPH NUNNELLEY MD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 8901 ROCKVILLE PIKE
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-295-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 9300 DEWITT LOOP ALEXANDER T AUGUSTA MILITARY MEDICAL CENTER
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City | FORT BELVOIR
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State | VA
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Zip | 22060
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Country | US
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Telephone | 571-231-3224
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TP181
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 510005
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 51005
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License Number State | TN
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