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General NPI Number Information
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NPI Number | 1598846875
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Entity Type | Individual
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Provider Name | PATRICIA W BRANCH CFNP
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 01/29/2009
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Provider Practice Location Address
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Address Line | 5249 OLDE TOWNE RD
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-8111
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Country | US
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Telephone | 757-259-3258
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Fax | 757-220-1953
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Provider Business Mailing Address
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Address Line | 704 AUTUMN TRCE
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-1660
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Country | US
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Telephone | 757-259-3258
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Fax | 757-220-1953
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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 | 0024053105
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 0024053105
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License Number State | VA
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