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General NPI Number Information
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NPI Number | 1356371611
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Entity Type | Individual
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Provider Name | TARA YOLANDA NORRIS PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 925 S GLEBE RD STE 101
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City | ARLINGTON
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State | VA
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Zip | 22204-2640
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Country | US
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Telephone | 571-417-7112
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Fax | 833-449-3788
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Provider Business Mailing Address
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Address Line | 925 S GLEBE RD STE 101
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City | ARLINGTON
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State | VA
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Zip | 22204-2640
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Country | US
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Telephone | 571-417-7112
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Fax | 833-449-3788
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA0101351
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License Number State | FL
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