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General NPI Number Information
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NPI Number | 1851103907
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Entity Type | Organization
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Legal Business Name | HEALTOP HEALTHCARE, LLC
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 113 SHORT ST STE 5
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City | POUNDING MILL
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State | VA
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Zip | 24637-4278
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Country | US
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Telephone | 276-345-4304
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Fax |
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Provider Business Mailing Address
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Address Line | 113 SHORT ST STE 5
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City | POUNDING MILL
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State | VA
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Zip | 24637-4278
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Country | US
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Telephone | 276-345-4304
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Fax | 276-345-4274
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Authorized Official
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Title or Position | MANAGER
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Name | AL BERRY
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Credential |
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Telephone | 469-915-4211
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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 |
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License Number State |
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