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General NPI Number Information
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NPI Number | 1245285659
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Entity Type | Individual
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Provider Name | ALYSSA M ABO-LUBITZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | PM PEDIATRICS 11056 ROUTE 29
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City | FAIRFAX
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State | VA
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Zip | 22030
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Country | US
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Telephone | 703-552-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 6683 MCLEAN DR
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City | MC LEAN
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State | VA
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Zip | 22101-4002
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Country | US
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Telephone | 610-393-1348
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | MD041285
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 227865
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License Number State | MA
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