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General NPI Number Information
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NPI Number | 1124847629
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Entity Type | Organization
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Legal Business Name | HEALTH UP
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 5131 PLEASANT FOREST DR
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City | CENTREVILLE
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State | VA
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Zip | 20120-1249
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Country | US
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Telephone | 571-430-2391
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Fax |
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Provider Business Mailing Address
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Address Line | 5131 PLEASANT FOREST DR
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City | CENTREVILLE
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State | VA
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Zip | 20120-1249
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Country | US
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Telephone | 571-430-2391
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. RITU DANG
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Credential |
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Telephone | 571-430-2391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080I0007X
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Taxonomy Name | Pediatric Clinical & Laboratory Immunology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #14
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Taxonomy Code | 364SX0106X
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Taxonomy Name | Occupational Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #15
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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