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General NPI Number Information
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NPI Number | 1790996361
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Entity Type | Individual
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Provider Name | LORI RATLIFF R.N., N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 10/16/2020
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Provider Practice Location Address
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Address Line | 70 MEDICAL CENTER CIR STE 105
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City | FISHERSVILLE
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State | VA
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Zip | 22939-2273
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Country | US
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Telephone | 540-332-5970
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Fax | 540-332-5043
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Provider Business Mailing Address
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Address Line | PO BOX 9007
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22906-9007
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Country | US
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Telephone | 434-295-1000
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Fax | 434-972-4266
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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 | 0024070694
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024070694
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License Number State | VA
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