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General NPI Number Information
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NPI Number | 1659554814
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Entity Type | Individual
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Provider Name | JOY F FELLMAN FNP
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Gender | Female
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 02/23/2009
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Provider Practice Location Address
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Address Line | 337 MAPLE AVENUE E CVS - MINUTE CLINIC
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City | VIENNA
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State | VA
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Zip | 22180
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Country | US
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Telephone | 703-587-3346
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Fax |
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Provider Business Mailing Address
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Address Line | 113 LOUNSBURY PL
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City | FALLS CHURCH
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State | VA
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Zip | 22046-2926
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Country | US
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Telephone | 703-587-3346
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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 | 0024166257
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License Number State | VA
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