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General NPI Number Information
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NPI Number | 1659975910
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Entity Type | Individual
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Provider Name | CHRISTOPHER CARMEN DERAMO II DNP, FNP
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Gender | Male
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Dates
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Enumeration Date | 11/27/2020
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 115 AMBRIAR PLZ
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City | AMHERST
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State | VA
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Zip | 24521-4741
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Country | US
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Telephone | 434-946-9565
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Fax |
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Provider Business Mailing Address
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Address Line | 112 BRIARWOOD ST
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City | LYNCHBURG
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State | VA
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Zip | 24503-2002
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Country | US
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Telephone | 941-662-7871
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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 | 0024180386
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License Number State | VA
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