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General NPI Number Information
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NPI Number | 1952198806
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Entity Type | Organization
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Legal Business Name | FUNCTIONAL HEALTHCARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 5822 CRANSWICK CT
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City | HAYMARKET
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State | VA
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Zip | 20169-8107
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Country | US
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Telephone | 703-314-1904
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 84
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City | HAYMARKET
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State | VA
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Zip | 20168-0084
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Country | US
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Telephone | 703-314-1904
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Fax |
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Authorized Official
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Title or Position | ADVANCED PRACTICE MIDWIFE
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Name | GABRIELA PAOLA AMMATUNA
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Credential | CM
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Telephone | 703-314-1904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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