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General NPI Number Information
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NPI Number | 1194653311
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Entity Type | Individual
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Provider Name | ENGIDA ABEGAZE
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Gender | Female
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Dates
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Enumeration Date | 05/09/2026
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Last Update Date | 05/09/2026
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Provider Practice Location Address
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Address Line | 2501 PARKERS LN
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City | ALEXANDRIA
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State | VA
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Zip | 22306-3209
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Country | US
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Telephone | 571-344-1328
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Fax |
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Provider Business Mailing Address
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Address Line | 8227 SMITHFIELD AVE
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City | SPRINGFIELD
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State | VA
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Zip | 22152-3060
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Country | US
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Telephone | 571-344-1328
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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 | 90909
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License Number State | VA
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