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General NPI Number Information
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NPI Number | 1780026757
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Entity Type | Individual
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Provider Name | JOE SURRATT NP
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Gender | Male
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 70 MEDICAL CENTER CIR SUITE 302
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City | FISHERSVILLE
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State | VA
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Zip | 22939-2273
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Country | US
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Telephone | 540-245-7350
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Fax | 540-245-7360
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Provider Business Mailing Address
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Address Line | PO BOX 388
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City | FISHERSVILLE
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State | VA
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Zip | 22939-0388
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Country | US
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Telephone | 409-325-2755
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Fax | 540-932-5875
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024170995
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License Number State | VA
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