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General NPI Number Information
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NPI Number | 1457171928
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Entity Type | Individual
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Provider Name | UHURUA AMBER-FAWNN GILLESPIE FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 3235 ACADEMY AVE STE 305
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City | PORTSMOUTH
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State | VA
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Zip | 23703-3200
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Country | US
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Telephone | 757-686-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 411 HUSTINGS LANE UNIT D
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City | NEWPORT NEWS
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State | VA
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Zip | 23608
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Country | US
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Telephone | 757-814-9923
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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 | 0024191301
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License Number State | VA
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