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General NPI Number Information
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NPI Number | 1265990212
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Entity Type | Individual
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Provider Name | SHRIPRIYA MOHAN O'NEILL CPNP
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Gender | Female
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Dates
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Enumeration Date | 03/08/2019
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 3023 HAMAKER CT STE 300
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City | FAIRFAX
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State | VA
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Zip | 22031-2240
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Country | US
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Telephone | 703-280-3850
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Fax |
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Provider Business Mailing Address
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Address Line | 219 GENTRY AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22305-1816
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Country | US
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Telephone | 585-771-0661
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Fax | 202-448-7619
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024177244
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 0024177244
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | NP1049347
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License Number State | DC
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