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General NPI Number Information
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NPI Number | 1508519224
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Entity Type | Individual
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Provider Name | ADELYN HEAVIN LIM PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 3300 GALLOWS RD
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3307
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Country | US
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Telephone | 703-776-4001
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Fax |
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Provider Business Mailing Address
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Address Line | 7154 PENNYS TOWN CT
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City | ANNANDALE
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State | VA
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Zip | 22003-3100
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Country | US
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Telephone | 303-718-6245
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 0002101452
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001315563
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License Number State | VA
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