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General NPI Number Information
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NPI Number | 1265692693
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Entity Type | Individual
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Provider Name | BROOKE ALANNA SHUSTER M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 06/13/2018
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Provider Practice Location Address
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Address Line | 3300 GALLOWS RD
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City | FALLS CHURCH
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State | VA
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Zip | 22042
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Country | US
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Telephone | 703-776-4238
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Fax |
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Provider Business Mailing Address
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Address Line | 508 N COLUMBUS ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2216
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Country | US
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Telephone | 585-507-8230
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | #MD038876
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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 | D72333
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101252909
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License Number State | VA
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