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General NPI Number Information
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NPI Number | 1720976574
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Entity Type | Organization
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Legal Business Name | APPALACHIAN MEDICINE, PLLC
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 1009 OLD COUNTRY CLUB RD NW
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City | ROANOKE
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State | VA
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Zip | 24017-2927
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Country | US
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Telephone | 540-235-1940
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Fax | 540-276-6833
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Provider Business Mailing Address
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Address Line | 5082 THORNSPRING RD
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City | PULASKI
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State | VA
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Zip | 24301-7032
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Country | US
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Telephone | 540-235-1940
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Fax | 540-276-6833
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Authorized Official
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Title or Position | FNP/OWNER
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Name | HOLLY D. EARLES
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Credential | MSN, APRN, FNP-BC
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Telephone | 540-235-1940
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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 |
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License Number State |
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