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General NPI Number Information
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NPI Number | 1558277392
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Entity Type | Individual
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Provider Name | CARISSA MAE APPLETON RN
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Gender | Female
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 2829 SHORE DR STE 200
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-1498
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Country | US
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Telephone | 757-734-1000
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Fax | 757-734-1001
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Provider Business Mailing Address
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Address Line | 508 LAKE DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-4409
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Country | US
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Telephone | 716-397-7877
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 0001317097
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License Number State | VA
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