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General NPI Number Information
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NPI Number | 1376198846
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Entity Type | Individual
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Provider Name | JI EUN AHN NP
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Gender | Female
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Dates
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Enumeration Date | 08/01/2019
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 2000 N BEAUREGARD ST STE 360
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City | ALEXANDRIA
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State | VA
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Zip | 22311-1751
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Country | US
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Telephone | 703-615-5465
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Fax |
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Provider Business Mailing Address
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Address Line | 8925 PURPLE LILAC CIR
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City | LORTON
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State | VA
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Zip | 22079-5643
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Country | US
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Telephone | 703-283-8830
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024177987
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024177987
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License Number State | NJ
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