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General NPI Number Information
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NPI Number | 1376516179
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Entity Type | Individual
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Provider Name | JANET THEIMER NP
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Gender | Female
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 800 OAK ST
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City | FARMVILLE
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State | VA
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Zip | 23901-1199
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Country | US
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Telephone | 434-315-2950
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Fax |
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Provider Business Mailing Address
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Address Line | 319 SPEC MINE RD
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City | BUCHANAN
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State | VA
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Zip | 24066-5181
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Country | US
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Telephone | 540-588-3509
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 0024-098718
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License Number State | VA
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