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General NPI Number Information
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NPI Number | 1417586884
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Entity Type | Individual
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Provider Name | PATRICIA GREEN BRONSON AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 8101 HINSON FARM RD STE 408
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City | ALEXANDRIA
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State | VA
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Zip | 22306-3409
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Country | US
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Telephone | 703-780-9014
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Fax | 703-780-9077
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Provider Business Mailing Address
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Address Line | 2622 HICKORY HOLLOW LN
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City | OAKTON
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State | VA
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Zip | 22124-1504
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024179706
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024179706
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 0024179706
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001239026
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License Number State | VA
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