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General NPI Number Information
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NPI Number | 1447141825
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Entity Type | Individual
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Provider Name | LULA ABDO
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Gender | Female
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 765 KENILWORTH TER NE
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City | WASHINGTON
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State | DC
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Zip | 20019-1898
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Country | US
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Telephone | 571-314-8902
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Fax | 571-314-8902
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Provider Business Mailing Address
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Address Line | 1100 NEW JERSEY AVE SE STE 500
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City | WASHINGTON
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State | DC
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Zip | 20003-3326
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Country | US
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Telephone | 202-715-7900
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA200002270
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0110010974
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License Number State | VA
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