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General NPI Number Information
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NPI Number | 1770280380
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Entity Type | Individual
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Provider Name | REBECCA LEE GONCE FNP
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Gender | Female
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Dates
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Enumeration Date | 02/14/2023
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 332 N HENRY ST
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-4117
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Country | US
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Telephone | 757-220-1246
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Fax | 757-220-0835
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Provider Business Mailing Address
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Address Line | 332 N HENRY ST
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-4117
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Country | US
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Telephone | 757-220-1246
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Fax | 757-220-0835
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001259792
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024185147
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License Number State | VA
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