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General NPI Number Information
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NPI Number | 1447969605
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Entity Type | Organization
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Legal Business Name | D.A.C. HEALTH
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Dates
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Enumeration Date | 11/16/2022
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 4801 NEWBYS MILL TER
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City | CHESTERFIELD
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State | VA
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Zip | 23832-7875
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Country | US
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Telephone | 804-248-0235
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Fax |
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Provider Business Mailing Address
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Address Line | 7501 LADY BLAIR LN UNIT 74935
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-5042
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Country | US
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Telephone | 804-248-0235
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. MISHII HAMLOR
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Credential | AGNP
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Telephone | 804-248-0235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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