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General NPI Number Information
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NPI Number | 1629965983
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Entity Type | Organization
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Legal Business Name | DACARA HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 7576 GARDNER PARK DR
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City | GAINESVILLE
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State | VA
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Zip | 20155-3414
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Country | US
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Telephone | 703-424-1948
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Fax |
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Provider Business Mailing Address
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Address Line | 2713 LOOKOUT RD
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City | HAYMARKET
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State | VA
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Zip | 20169-1644
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, FNP
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Name | IONELA ANTONOIU
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Credential |
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Telephone | 703-424-1948
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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 |
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License Number State |
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