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General NPI Number Information
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NPI Number | 1508503301
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Entity Type | Individual
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Provider Name | FE'LEE LOUIS LPN
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Gender | Female
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Dates
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Enumeration Date | 05/13/2022
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Last Update Date | 05/13/2022
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Provider Practice Location Address
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Address Line | 209 RESEARCH DR
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City | CHESAPEAKE
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State | VA
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Zip | 23320-5995
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Country | US
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Telephone | 757-386-5893
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Fax |
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Provider Business Mailing Address
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Address Line | 4524 SHOSHONE COURT
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City | NORFOLK
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State | VA
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Zip | 23513
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Country | US
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Telephone | 757-478-2505
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 0002100773
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License Number State | AL
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