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General NPI Number Information
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NPI Number | 1285765743
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Entity Type | Individual
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Provider Name | REBEKAH STOKES PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 4660 KENMORE AVE STE 305
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City | ALEXANDRIA
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State | VA
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Zip | 22304-1306
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Country | US
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Telephone | 703-751-5763
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Fax | 703-370-8704
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Provider Business Mailing Address
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Address Line | 14904 RICHMOND HWY STE 103
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3908
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0110001424
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA030834
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110001424
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License Number State | VA
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