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General NPI Number Information
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NPI Number | 1639537244
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Entity Type | Individual
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Provider Name | APRIL FAIN
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Gender | Female
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Dates
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Enumeration Date | 02/10/2016
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Last Update Date | 02/10/2016
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Provider Practice Location Address
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Address Line | 4900 COX RD SUITE 150
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City | GLEN ALLEN
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State | VA
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Zip | 23060-6507
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Country | US
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Telephone | 804-920-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 ORCHARD RD
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City | RICHMOND
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State | VA
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Zip | 23226-3053
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Country | US
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Telephone | 804-920-3040
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 0024173253
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License Number State | VA
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