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General NPI Number Information
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NPI Number | 1548848583
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Entity Type | Individual
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Provider Name | SHANNON EILEEN FERRARO FNP-C, ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 3975 FAIR RIDGE DR STE 125
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City | FAIRFAX
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State | VA
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Zip | 22033-2911
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Country | US
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Telephone | 703-259-8423
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Fax | 703-259-8424
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Provider Business Mailing Address
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Address Line | 2116 BOBBYBER DR
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City | VIENNA
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State | VA
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Zip | 22182-4025
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Country | US
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Telephone | 857-204-8833
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11018152
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License Number State | FL
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