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General NPI Number Information
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NPI Number | 1083429567
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Entity Type | Individual
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Provider Name | REBECCA LEIGH DOODY PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 44084 RIVERSIDE PARKWAY, SUITE 300
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City | LEESBURG
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State | VA
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Zip | 20176-5102
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Country | US
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Telephone | 703-724-7530
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Fax |
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Provider Business Mailing Address
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Address Line | 224-D CORNWALL STREET NW, SUITE 204 SUITE 403
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City | LEESBURG
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State | VA
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Zip | 20176-6030
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Country | US
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Telephone | 703-737-6010
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0110010723
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License Number State | VA
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