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General NPI Number Information
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NPI Number | 1356566111
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Entity Type | Individual
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Provider Name | AMY HOCUTT TRAYLOR M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 102 DUKE ST SUITE 103
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City | CULPEPER
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State | VA
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Zip | 22701-1402
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Country | US
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Telephone | 540-727-9930
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Fax | 540-727-9933
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Provider Business Mailing Address
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Address Line | 102 DUKE ST SUITE 103
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City | CULPEPER
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State | VA
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Zip | 22701-1402
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Country | US
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Telephone | 540-727-9930
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Fax | 540-727-9933
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 0101229422
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License Number State | VA
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