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General NPI Number Information
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NPI Number | 1487510541
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Entity Type | Individual
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Provider Name | SUZAN ABDULJAWAD PHD, MSN, APRN
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Gender | Female
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Dates
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Enumeration Date | 01/01/2026
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 8613 ROUTE 29
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City | FAIRFAX
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State | VA
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Zip | 22031-2171
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Country | US
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Telephone | 571-350-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 8613 ROUTE 29
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City | FAIRFAX
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State | VA
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Zip | 22031-2171
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Country | US
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Telephone | 202-681-6556
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 11038203
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 0024194219
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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 | 0024194219
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | 0001338943
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License Number State | VA
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