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General NPI Number Information
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NPI Number | 1215311592
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Entity Type | Individual
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Provider Name | STACEY MICHELLE AKERS CPNP
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Gender | Female
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 07/16/2015
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Provider Practice Location Address
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Address Line | 3700 JOSEPH SIEWICK DR SUITE 300
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City | FAIRFAX
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State | VA
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Zip | 22033-1744
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Country | US
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Telephone | 703-569-8400
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Fax | 703-758-7602
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Provider Business Mailing Address
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Address Line | 3700 JOSEPH SIEWICK DR SUITE 300
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City | FAIRFAX
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State | VA
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Zip | 22033-1744
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Country | US
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Telephone | 703-569-8400
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Fax | 703-758-7602
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 0024172762
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License Number State | VA
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