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General NPI Number Information
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NPI Number | 1447708318
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Entity Type | Individual
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Provider Name | TAMARA KRANTZ FLEMING PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 8051 PROSPERITY WAY SUITE 100
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City | RUTHER GLEN
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State | VA
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Zip | 22546-5812
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Country | US
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Telephone | 804-448-1380
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Fax |
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Provider Business Mailing Address
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Address Line | 7604 ALVARADO RD
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City | RICHMOND
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State | VA
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Zip | 23229-4204
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Country | US
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Telephone | 804-334-1190
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Fax | 804-288-7604
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024174003
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License Number State | VA
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