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General NPI Number Information
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NPI Number | 1801675517
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Entity Type | Individual
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Provider Name | MATTHEW CHAD LEHNER-GULOTTA MSN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/22/2023
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1185 SEMINOLE TRL STE 105
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-2828
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Country | US
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Telephone | 434-962-6234
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Fax | 844-297-9925
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Provider Business Mailing Address
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Address Line | 4283 SYCAMORE CREEK DR
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City | NORTH GARDEN
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State | VA
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Zip | 22959-1563
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Country | US
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Telephone |
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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 | 0024188275
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License Number State | VA
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