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General NPI Number Information
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NPI Number | 1194101667
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Entity Type | Individual
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Provider Name | ASHLEY JIN BUSCETTA MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/06/2015
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Last Update Date | 02/07/2021
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Provider Practice Location Address
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Address Line | 1701 N GEORGE MASON DR SUITE G200
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City | ARLINGTON
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State | VA
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Zip | 22205-3610
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Country | US
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Telephone | 703-558-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 806 MOUNT VERNON AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22301-1704
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Country | US
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Telephone | 570-977-1498
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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 | 0024172786
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License Number State | VA
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