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General NPI Number Information
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NPI Number | 1184063307
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Entity Type | Individual
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Provider Name | ZETTA MARIANA HESTER MD
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Gender | Female
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 5911 KINGSTOWNE VILLAGE PKWY STE 100
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City | ALEXANDRIA
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State | VA
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Zip | 22315-4645
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Country | US
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Telephone | 571-449-2555
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Fax |
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Provider Business Mailing Address
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Address Line | 5911 KINGSTOWNE VILLAGE PKWY STE 100
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City | ALEXANDRIA
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State | VA
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Zip | 22315-4645
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Country | US
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Telephone |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 0101265186
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License Number State | VA
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