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General NPI Number Information
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NPI Number | 1548417959
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Entity Type | Individual
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Provider Name | AYANA ALEXIS HABTEMARIAM R.D., L.D.N
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Gender | Female
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 4001 9TH ST N STE 220
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City | ARLINGTON
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State | VA
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Zip | 22203-1900
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Country | US
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Telephone | 703-656-6631
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Fax | 703-997-4108
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Provider Business Mailing Address
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Address Line | 4001 9TH ST N STE 220
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City | ARLINGTON
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State | VA
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Zip | 22203-1900
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Country | US
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Telephone | 703-656-6631
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 00985931
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | DN003836
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License Number State | PA
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