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General NPI Number Information
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NPI Number | 1144363342
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Entity Type | Individual
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Provider Name | THOMAS A VANDRUFF NP
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Gender | Male
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 21300 COACH GIBBS DR
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City | ASHBURN
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State | VA
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Zip | 20147-6323
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Country | US
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Telephone | 703-851-5874
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Fax | 703-563-9265
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Provider Business Mailing Address
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Address Line | 2411 N UPSHUR ST
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City | ARLINGTON
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State | VA
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Zip | 22207-4023
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Country | US
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Telephone | 703-851-5874
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Fax | 703-563-9265
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN967155
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024169483
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License Number State | VA
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