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General NPI Number Information
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NPI Number | 1366150898
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Entity Type | Individual
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Provider Name | ALEXANDRIA AUGUSTUS AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 204 N HAMILTON ST
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City | RICHMOND
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State | VA
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Zip | 23221-2662
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Country | US
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Telephone | 804-977-1185
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Fax | 804-584-4399
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Provider Business Mailing Address
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Address Line | 204 N HAMILTON ST
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-2329
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Country | US
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Telephone |
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Fax | 804-584-4399
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 0024184591
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License Number State | VA
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