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General NPI Number Information
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NPI Number | 1306238308
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Entity Type | Individual
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Provider Name | ASHLYN NICOLE YANNITELLO PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/27/2015
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 3600 JOSEPH SIEWICK DR
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City | FAIRFAX
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State | VA
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Zip | 22033-1709
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Country | US
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Telephone | 703-391-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 24952 PEACH RIDGE CT
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City | ALDIE
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State | VA
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Zip | 20105-5750
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Country | US
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Telephone | 757-291-6747
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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 | PA031110
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License Number State | DC
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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 | C06570
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA60333
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0010-11837
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | TPPA236
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | ITRPA-1004
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License Number State | WV
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Taxonomy #7
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | TP8786
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License Number State | AZ
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Taxonomy #8
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0110004812
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License Number State | VA
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