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General NPI Number Information
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NPI Number | 1427206267
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Entity Type | Individual
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Provider Name | LISA GAY FNP
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Gender | Female
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Dates
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Enumeration Date | 09/05/2008
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 3004 ORANGE GROVE SUITE 2
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City | CHRISTIANSTED
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State | VI
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Zip | 00820
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Country | US
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Telephone | 340-227-4255
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Fax | 340-713-9002
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Provider Business Mailing Address
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Address Line | 3004 ORANGE GROVE SUITE 2
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City | CHRISTIANSTED
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State | VI
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Zip | 00820-4288
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Country | US
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Telephone | 340-715-7720
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Fax | 340-713-9002
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024167991
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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 | 11173
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License Number State | VI
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