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General NPI Number Information
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NPI Number | 1124644158
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Entity Type | Individual
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Provider Name | EMILY PARKER FNP
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Gender | Female
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Dates
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Enumeration Date | 06/25/2020
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Last Update Date | 07/27/2020
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Provider Practice Location Address
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Address Line | 6165 LEESBURG PIKE
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2302
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Country | US
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Telephone | 703-260-8415
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Fax |
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Provider Business Mailing Address
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Address Line | 7807 SUFFOLK CT
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City | ALEXANDRIA
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State | VA
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Zip | 22315-4029
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Country | US
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Telephone | 623-256-3231
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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 | 0024175987
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License Number State | VA
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