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General NPI Number Information
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NPI Number | 1326433061
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Entity Type | Individual
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Provider Name | DANUSHCA PARDO CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 4131 OLD COLUMBIA PIKE
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City | ANNENDALE
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State | VI
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Zip | 22003
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Country | US
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Telephone | 240-294-4079
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Fax |
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Provider Business Mailing Address
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Address Line | 7523 RIO GRANDE WAY
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City | GAINESVILLE
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State | VA
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Zip | 20155-1968
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Country | US
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Telephone | 781-608-0757
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R215992
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License Number State | MD
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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 | 0024176962
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License Number State | VA
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