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General NPI Number Information
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NPI Number | 1396611547
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Entity Type | Individual
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Provider Name | ELIZABETH TARALLO RN
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Gender | Female
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 3300 GALLOWS RD
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3307
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Country | US
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Telephone | 703-776-3154
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Fax |
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Provider Business Mailing Address
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Address Line | 13145B ROUNDING RUN CIR
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City | HERNDON
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State | VA
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Zip | 20171-3910
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Country | US
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Telephone | 480-266-5232
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001217816
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License Number State | VA
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