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General NPI Number Information
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NPI Number | 1033915335
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Entity Type | Individual
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Provider Name | MR. RONEL ISRAEL
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Gender | Male
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 44495 WHITFORD SQ APT 202
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City | ASHBURN
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State | VA
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Zip | 20147-7111
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Country | US
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Telephone | 801-671-4153
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Fax |
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Provider Business Mailing Address
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Address Line | 22050 EASTSIDE DR APT 420
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City | ASHBURN
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State | VA
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Zip | 20147-7229
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Country | US
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Telephone | 202-641-0287
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 2021100516410087
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License Number State | VA
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