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General NPI Number Information
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NPI Number | 1992743991
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Entity Type | Individual
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Provider Name | KELLY ADAIR VIRGIL NP
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Gender | Female
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 3755 ADMIRAL DR STE 105A
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City | HIGH POINT
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State | NC
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Zip | 27265-1554
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Country | US
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Telephone | 336-673-5097
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Fax | 336-203-3644
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Provider Business Mailing Address
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Address Line | 3755 ADMIRAL DR STE 105A
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City | HIGH POINT
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State | NC
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Zip | 27265-1554
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Country | US
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Telephone | 336-673-5097
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Fax | 336-203-3644
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 900281
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License Number State | ND
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