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General NPI Number Information
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NPI Number | 1780926725
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Entity Type | Individual
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Provider Name | NATASHA PRYMAK NP
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Gender | Female
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Dates
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Enumeration Date | 03/17/2013
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 4510 PLANK RD SUITE # 200
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-0138
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Country | US
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Telephone | 540-785-9900
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Fax | 540-785-9960
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Provider Business Mailing Address
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Address Line | PO BOX 3910
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City | FREDERICKSBURG
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State | VA
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Zip | 22402-3910
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Country | US
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Telephone | 540-785-9900
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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 | 0024170745
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License Number State | VA
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