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General NPI Number Information
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NPI Number | 1447867338
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Entity Type | Individual
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Provider Name | AMY W EICHELBERGER AG-ACNP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 2501 PARKERS LN
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City | ALEXANDRIA
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State | VA
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Zip | 22306-3209
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Country | US
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Telephone | 703-664-7000
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Fax | 703-664-7666
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Provider Business Mailing Address
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Address Line | 2158 N QUEBEC ST
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City | ARLINGTON
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State | VA
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Zip | 22207-3965
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Country | US
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Telephone | 703-304-1004
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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 | RN965875
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License Number State | DC
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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 | 0024181068
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License Number State | VA
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