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General NPI Number Information
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NPI Number | 1780891044
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Entity Type | Individual
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Provider Name | YVONNE LAHAIE NP
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 701 E BYRD ST
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City | RICHMOND
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State | VA
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Zip | 23219-3921
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Country | US
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Telephone | 804-687-8407
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Fax |
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Provider Business Mailing Address
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Address Line | 1313 FERNVIEW TRL
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-4730
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Country | US
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Telephone | 804-614-2355
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0017139050
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 0024167608
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License Number State | VA
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