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General NPI Number Information
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NPI Number | 1780624429
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Entity Type | Individual
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Provider Name | ANN SCOTT RICKARD NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1414 N AUGUSTA ST POB 2126
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City | STAUNTON
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State | VA
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Zip | 24401-2126
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Country | US
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Telephone | 540-332-7830
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Fax | 540-885-0149
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Provider Business Mailing Address
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Address Line | 13641 TURLEYTOWN RD
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City | BROADWAY
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State | VA
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Zip | 22815-2506
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Country | US
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Telephone | 540-896-3709
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Fax |
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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 | 0024110381
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License Number State | VA
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