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General NPI Number Information
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NPI Number | 1487666178
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Entity Type | Individual
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Provider Name | GRETCHEN SAPONE PA
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Gender | Female
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1253 NIMMO PKWY STE 110
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-7782
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Country | US
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Telephone | 757-821-2088
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Fax |
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Provider Business Mailing Address
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Address Line | 1516 HARMON ST
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City | NORFOLK
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State | VA
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Zip | 23518
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Country | US
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Telephone | 757-819-4616
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Fax | 757-734-9252
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110001097
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License Number State | VA
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