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General NPI Number Information
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NPI Number | 1578957726
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Entity Type | Individual
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Provider Name | YEGANEH JALAEIAN DNP
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Gender | Female
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 8296 OLD COURTHOUSE RD STE C
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City | VIENNA
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State | VA
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Zip | 22182-3852
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Country | US
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Telephone | 571-200-3284
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Fax | 571-376-6555
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Provider Business Mailing Address
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Address Line | 8296 OLD COURTHOUSE RD STE C
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City | VIENNA
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State | VA
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Zip | 22182-3852
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Country | US
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Telephone | 571-200-3284
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Fax | 571-376-6555
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024172459
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024172459
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License Number State | VA
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