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General NPI Number Information
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NPI Number | 1144987017
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Entity Type | Organization
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Legal Business Name | DR JO ANNE NELSON PLLC
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Dates
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Enumeration Date | 11/26/2021
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 1423 POWHATAN ST STE 7
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City | ALEXANDRIA
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State | VA
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Zip | 22314-1389
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Country | US
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Telephone | 202-215-0267
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 CLARENDON BLVD APT 606
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City | ARLINGTON
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State | VA
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Zip | 22201-5844
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Country | US
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Telephone | 202-215-0267
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JO ANNE NELSON
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Credential | DC
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Telephone | 202-215-0267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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