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General NPI Number Information
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NPI Number | 1508511924
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Entity Type | Individual
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Provider Name | LACINDA ANN FOLEY FNP
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Gender | Female
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 324 T B STANLEY HWY
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City | BASSETT
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State | VA
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Zip | 24055-6108
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Country | US
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Telephone | 276-638-0787
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Fax | 276-629-2695
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Provider Business Mailing Address
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Address Line | 29 JONES ST
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City | MARTINSVILLE
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State | VA
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Zip | 24112-2716
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Country | US
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Telephone | 276-638-0787
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Fax | 276-629-2695
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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 | 5019071
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License Number State | NC
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