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General NPI Number Information
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NPI Number | 1235001702
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Entity Type | Individual
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Provider Name | GUADALUPE ABEBE CST/CSFA
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Gender | Female
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 44045 RIVERSIDE PKWY
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City | LEESBURG
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State | VA
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Zip | 20176-5101
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Country | US
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Telephone | 703-858-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 17976 RIDGEWOOD PL
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City | ROUND HILL
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State | VA
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Zip | 20141-3542
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Country | US
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Telephone | 571-606-7959
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 0136000822
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License Number State | VA
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