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General NPI Number Information
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NPI Number | 1861475204
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Entity Type | Individual
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Provider Name | NANCY A ROE NP
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Gender | Female
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 6477 COLLEGE PARK SQ STE 312
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-3611
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Country | US
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Telephone | 757-452-6932
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Fax | 757-905-4316
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Provider Business Mailing Address
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Address Line | 540 CONSERVANCY WAY APT 106
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City | CHESAPEAKE
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State | VA
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Zip | 23323-1334
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Country | US
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Telephone | 669-411-8518
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 453123
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License Number State | NY
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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 | A03703
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License Number State | VA
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