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General NPI Number Information
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NPI Number | 1144036005
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Entity Type | Individual
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Provider Name | NHU PHUONG TRINH FNP
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Gender | Female
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 21785 FILIGREE CT STE 100
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City | ASHBURN
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State | VA
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Zip | 20147-6214
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Country | US
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Telephone | 703-554-1100
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Fax | 571-665-6666
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Provider Business Mailing Address
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Address Line | 41575 BOSTONIAN PL
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City | ALDIE
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State | VA
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Zip | 20105-5647
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Country | US
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Telephone | 703-606-1012
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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 | 207Q00000X
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License Number State | VA
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