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General NPI Number Information
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NPI Number | 1588550875
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Entity Type | Individual
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Provider Name | EMMA MCCLELLAND PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 582 LYNNHAVEN PKWY STE 301
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7386
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Country | US
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Telephone | 757-916-9630
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Fax |
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Provider Business Mailing Address
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Address Line | 103 N TEAL CIR
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City | FRANKLIN
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State | VA
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Zip | 23851-2977
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Country | US
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Telephone | 757-651-4712
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 0110011065
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110011065
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License Number State | VA
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