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General NPI Number Information
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NPI Number | 1467850024
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Entity Type | Individual
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Provider Name | MARIA OBEID DNP, AGNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/15/2014
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Last Update Date | 12/15/2014
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Provider Practice Location Address
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Address Line | 3930 WALNUT ST SUITE 220
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City | FAIRFAX
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State | VA
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Zip | 22030-4738
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Country | US
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Telephone | 703-246-9505
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Fax | 703-246-9507
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Provider Business Mailing Address
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Address Line | 6905 JEFFERSON AVE
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City | FALLS CHURCH
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State | VA
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Zip | 22042-1934
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Country | US
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Telephone | 703-861-8105
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Fax | 703-246-9507
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AG0814039
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License Number State | VA
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