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General NPI Number Information
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NPI Number | 1467144907
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Entity Type | Individual
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Provider Name | ROBYN THIRKILL A-GNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/23/2023
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Last Update Date | 07/02/2023
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Provider Practice Location Address
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Address Line | 833 BUFFALO ST
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City | FARMVILLE
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State | VA
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Zip | 23901-1111
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Country | US
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Telephone | 434-392-8177
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Fax | 434-392-8272
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Provider Business Mailing Address
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Address Line | 43 THIRKILL DR
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City | PROSPECT
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State | VA
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Zip | 23960-8166
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Country | US
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Telephone | 703-927-2908
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 0024187398
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001290457
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License Number State | VA
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