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NPI 1023750239

NPI 1023750239 : ALINA MARIE PACIONE : MECHANICSVILLE, VA

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General NPI Number Information
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    NPI Number           |    1023750239
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    Entity Type          |    Individual 
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    Provider Name        |    ALINA MARIE PACIONE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/08/2022
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    Last Update Date     |    04/08/2022
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Provider Practice Location Address
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    Address Line         |    6372 MECHANICSVILLE TPKE STE 101 
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    City                 |    MECHANICSVILLE
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    State                |    VA
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    Zip                  |    23111-4710
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    Country              |    US
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    Telephone            |    804-522-1471
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3200 W CLAY ST APT 179 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23230-4657
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    Country              |    US
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    Telephone            |    410-491-4638
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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