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General NPI Number Information
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NPI Number | 1841313103
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Entity Type | Individual
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Provider Name | ANN SYNNESTVEDT MCQUEEN BLAIR DNP, MSN,CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 550 BRANDON AVENUE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 23908
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Country | US
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Telephone | 434-924-5362
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Fax |
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Provider Business Mailing Address
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Address Line | 550 BRANDON AVENUE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22908-0001
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Country | US
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Telephone | 434-924-5362
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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 | SP006099B
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | SP0001593G
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024177021
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License Number State | VA
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