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General NPI Number Information
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NPI Number | 1780558270
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Entity Type | Organization
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Legal Business Name | ABUNDANCE PRIMARY CARE LLC
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 4500 PLANK RD STE 1024B
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-0120
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Country | US
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Telephone | 540-527-5113
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Fax | 540-767-6333
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Provider Business Mailing Address
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Address Line | PO BOX 41021
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City | FREDERICKSBURG
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State | VA
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Zip | 22404-1021
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Country | US
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Telephone | 540-527-5113
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Fax | 540-767-6333
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | HERMINE HENRY
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Credential | FNP-C
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Telephone | 321-276-7402
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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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