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General NPI Number Information
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NPI Number | 1609205699
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Entity Type | Individual
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Provider Name | CARMEL ANN M MIRARCHI FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/11/2013
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2230 EXECUTIVE DR
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City | HAMPTON
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State | VA
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Zip | 23666-2430
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Country | US
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Telephone | 757-992-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 S LYNNHAVEN RD STE 450
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-8524
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Country | US
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Telephone |
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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 | 0024193064
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License Number State | VA
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