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General NPI Number Information
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NPI Number | 1982607099
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Entity Type | Individual
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Provider Name | ELEANOR HESS FNP
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Gender | Female
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 07/27/2012
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Provider Practice Location Address
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Address Line | 391 FALLS DR NW
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City | ABINGDON
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State | VA
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Zip | 24210-8093
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Country | US
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Telephone | 276-628-4406
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Fax | 276-628-4906
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Provider Business Mailing Address
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Address Line | 999 EXECUTIVE PARK BLVD SUITE 201
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City | KINGSPORT
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State | TN
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Zip | 37660-4632
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Country | US
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Telephone | 423-224-3250
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Fax | 423-224-3258
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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 | 0024164291
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License Number State | VA
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