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General NPI Number Information
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NPI Number | 1659022499
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Entity Type | Individual
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Provider Name | PAM OAKLEY DURHAM PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 1601 FRANKLIN TPKE
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City | DANVILLE
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State | VA
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Zip | 24540-1031
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Country | US
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Telephone | 143-836-8500
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Fax | 434-836-8552
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Provider Business Mailing Address
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Address Line | 202 MARSHALL TER
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City | DANVILLE
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State | VA
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Zip | 24541-2809
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Country | US
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Telephone | 434-334-3617
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024183457
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License Number State | VA
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