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General NPI Number Information
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NPI Number | 1295475226
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Entity Type | Individual
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Provider Name | BERYL FAUSTINA VALENTINE MD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2022
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 6303 LITTLE RIVER TPKE STE 300
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City | ALEXANDRIA
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State | VA
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Zip | 22312-5045
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Country | US
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Telephone | 703-914-8989
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Fax |
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Provider Business Mailing Address
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Address Line | 10697 OAKTON RIDGE CT
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City | OAKTON
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State | VA
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Zip | 22124-1645
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101285567
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License Number State | VA
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