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General NPI Number Information
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NPI Number | 1538358148
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Entity Type | Individual
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Provider Name | LENA A DABBAR CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 1483 OLD BRIDGE RD STE 201
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2738
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Country | US
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Telephone | 703-491-2141
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Fax |
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Provider Business Mailing Address
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Address Line | 6120 BRANDON AVE SUITE 308
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City | SPRINGFIELD
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State | VA
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Zip | 22150-2522
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Country | US
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Telephone | 703-451-3333
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Fax | 703-451-7219
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 0001145660
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License Number State | VA
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