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General NPI Number Information
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NPI Number | 1285600700
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Entity Type | Individual
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Provider Name | NANCY DIMASCIO-JOHNSON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 9300 DEWITT LOOP
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City | FORT BELVOIR
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State | VA
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Zip | 22060-5285
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Country | US
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Telephone | 571-231-1402
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Fax | 571-231-6641
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Provider Business Mailing Address
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Address Line | 100 WILDERNESS LN
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-2250
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Country | US
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Telephone | 703-784-1885
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Fax | 703-784-1554
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024165365
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F331498-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024165365
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License Number State | VA
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