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General NPI Number Information
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NPI Number | 1427972322
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Entity Type | Individual
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Provider Name | MEREDITH CLARY WALL FNP
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Gender | Female
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 511 BELFIELD DR
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City | EMPORIA
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State | VA
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Zip | 23847-1217
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Country | US
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Telephone | 434-348-3680
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Fax |
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Provider Business Mailing Address
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Address Line | 4360 CLEATON RD
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City | BRODNAX
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State | VA
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Zip | 23920-2702
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024198263
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License Number State | VA
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