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General NPI Number Information
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NPI Number | 1508533431
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS FAMILY CARE PLLC
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Dates
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Enumeration Date | 08/27/2021
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 16021 KAIROS RD
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City | SOUTH CHESTERFIELD
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State | VA
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Zip | 23834-5208
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Country | US
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Telephone | 804-526-3821
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Fax |
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Provider Business Mailing Address
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Address Line | 11401 WEEPING CHERRY LN
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City | MOSELEY
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State | VA
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Zip | 23120-1566
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Country | US
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Telephone | 516-509-0553
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | CHANDA DANIELLE HARRIS
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Credential | NO
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Telephone | 516-509-0553
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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 |
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License Number State |
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