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General NPI Number Information
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NPI Number | 1124188966
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Entity Type | Individual
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Provider Name | ROBERT BRUCE GIALLONGO FNP, MPH
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2401 E STREET NW M,MED,QI, SA-1
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City | WASHINGTON
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State | DC
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Zip | 20522-0102
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Country | US
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Telephone | 202-663-2453
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Fax | 202-663-3247
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Provider Business Mailing Address
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Address Line | 9510 TIRANA PL
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City | DULLES
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State | VA
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Zip | 20189-9510
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Country | US
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Telephone | 355-424-7285
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Fax | 355-434-0172
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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 | 471337
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License Number State | CA
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