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General NPI Number Information
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NPI Number | 1508898826
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Entity Type | Individual
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Provider Name | LYNNE POWERS AILOR NP
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 02/02/2011
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Provider Practice Location Address
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Address Line | 600 JACKSON ST
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-5719
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Country | US
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Telephone | 540-899-4371
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Fax | 540-371-3753
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Provider Business Mailing Address
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Address Line | 401 BLACKWATER TRL
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City | CARET
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State | VA
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Zip | 22436-2241
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Country | US
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Telephone | 804-443-6979
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Fax | 540-371-3753
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024165972
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 001500756
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License Number State | VA
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