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General NPI Number Information
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NPI Number | 1164029823
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Entity Type | Individual
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Provider Name | YAEL EMEBET DANIEL
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Gender | Female
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Dates
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Enumeration Date | 10/06/2020
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 623 JEFFERSON DAVIS HWY
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4437
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Country | US
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Telephone | 800-452-5574
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11301
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City | ALEXANDRIA
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State | VA
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Zip | 22312-0901
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Country | US
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Telephone | 571-501-8197
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024180296
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 0024180296
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License Number State | VA
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