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General NPI Number Information
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NPI Number | 1881662112
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Entity Type | Individual
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Provider Name | LETITIA AMIRAULT NP
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Gender | Female
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Dates
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Enumeration Date | 03/11/2006
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 120 JACKSON RIVER ROAD
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City | MONTEREY
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State | VA
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Zip | 24465
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Country | US
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Telephone | 540-468-3300
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Fax | 540-465-3301
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Provider Business Mailing Address
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Address Line | PO BOX 490
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City | MONTEREY
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State | VA
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Zip | 24465-0490
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Country | US
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Telephone | 540-468-6400
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Fax | 540-468-3301
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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 | 0024166186
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License Number State | VA
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