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General NPI Number Information
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NPI Number | 1518768290
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Entity Type | Individual
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Provider Name | TROY A JUAREZ FNP
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Gender | Male
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 5486 INDIAN RIVER RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-5365
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Country | US
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Telephone | 757-424-2490
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Fax |
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Provider Business Mailing Address
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Address Line | 3625 EDINBURGH DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-3616
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Country | US
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Telephone | 757-407-1988
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024192967
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License Number State | VA
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