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General NPI Number Information
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NPI Number | 1104341635
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Entity Type | Individual
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Provider Name | HELENE L. HEMUS FNP
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Gender | Female
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Dates
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Enumeration Date | 08/05/2017
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Last Update Date | 08/05/2017
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Provider Practice Location Address
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Address Line | 6035 BURKE CENTRE PKWY STE 120
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City | BURKE
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State | VA
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Zip | 22015-3750
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Country | US
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Telephone | 703-425-6010
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Fax |
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Provider Business Mailing Address
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Address Line | 5102 RIVER HILL RD
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City | BETHESDA
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State | MD
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Zip | 20816-2237
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Country | US
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Telephone | 202-271-8395
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Fax | 301-320-7073
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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 | R130049
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License Number State | MD
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