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General NPI Number Information
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NPI Number | 1710606397
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Entity Type | Individual
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Provider Name | CAROLINE M MATTHEWS AG-ACNP
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Gender | Female
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 300 MEDICAL PKWY STE 212
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4985
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Country | US
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Telephone | 757-312-5292
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Fax | 757-609-3225
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Provider Business Mailing Address
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Address Line | 667 KINGSBOROUGH SQ STE 101
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4999
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Country | US
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Telephone | 757-842-4481
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Fax | 757-312-3135
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 0024184932
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024184932
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License Number State | VA
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