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General NPI Number Information
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NPI Number | 1780305276
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Entity Type | Individual
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Provider Name | AHMAD RASHAD CLEMMONS DNP, APRN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 09/05/2022
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 549 E BRAMBLETON AVE
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City | NORFOLK
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State | VA
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Zip | 23510-2905
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Country | US
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Telephone | 757-533-9441
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Fax |
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Provider Business Mailing Address
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Address Line | 664 LINCOLN ST
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City | PORTSMOUTH
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State | VA
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Zip | 23704-4818
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Country | US
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Telephone | 757-393-6363
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Fax | 757-793-3867
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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 | 0024184663
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License Number State | VA
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