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General NPI Number Information
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NPI Number | 1851605778
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Entity Type | Individual
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Provider Name | ABBY M RICKEL FNP
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Gender | Female
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 05/27/2021
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Provider Practice Location Address
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Address Line | 8639 MAYLAND DR STE 105
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City | HENRICO
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State | VA
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Zip | 23294-4752
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Country | US
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Telephone | 804-740-7105
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Fax | 804-658-1644
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Provider Business Mailing Address
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Address Line | 8639 MAYLAND DR STE 105
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City | HENRICO
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State | VA
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Zip | 23294-4752
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Country | US
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Telephone | 804-740-7105
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Fax | 804-658-1644
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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 | 0024168582
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0017139753
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License Number State | VA
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