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General NPI Number Information
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NPI Number | 1033306527
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Entity Type | Individual
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Provider Name | REBECCA ELIZABETH SUTTER APRN FNP
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Gender | Female
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 10800 ANITA DR
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City | LORTON
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State | VA
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Zip | 22079-3520
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Country | US
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Telephone | 571-225-3256
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 UNIVERSITY DR
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City | FAIRFAX
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State | VA
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Zip | 22030-4444
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Country | US
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Telephone | 703-993-5000
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024166217
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License Number State | VA
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