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General NPI Number Information
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NPI Number | 1326862947
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Entity Type | Organization
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Legal Business Name | MANASSAS IOP INC
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 9001 DIGGES RD STE 104
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City | MANASSAS
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State | VA
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Zip | 20110-4414
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Country | US
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Telephone | 703-239-3602
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Fax | 855-888-8410
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Provider Business Mailing Address
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Address Line | 9001 DIGGES RD STE 104
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City | MANASSAS
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State | VA
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Zip | 20110-4414
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Country | US
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Telephone | 703-239-3602
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Fax | 855-888-8410
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Authorized Official
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Title or Position | OWNER
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Name | NANCYE L. SADLER
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Credential | NP
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Telephone | 703-944-9018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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