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General NPI Number Information
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NPI Number | 1427038066
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Entity Type | Individual
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Provider Name | LISA G LANDES RN, MSN, FNP
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Gender | Female
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 11/09/2008
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Provider Practice Location Address
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Address Line | 1661 S MAIN ST
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City | HARRISONBURG
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State | VA
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Zip | 22801-2728
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Country | US
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Telephone | 540-433-2554
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Fax | 540-433-8035
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Provider Business Mailing Address
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Address Line | 841 OLD FURNACE RD
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City | HARRISONBURG
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State | VA
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Zip | 22802-6004
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Country | US
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Telephone | 540-434-3505
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001-115910
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024-165317
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License Number State | VA
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