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General NPI Number Information
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NPI Number | 1669898169
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Entity Type | Individual
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Provider Name | JESSICA LYNN POPE MS, ATC
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Gender | Female
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Dates
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Enumeration Date | 03/10/2014
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Last Update Date | 03/10/2014
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Provider Practice Location Address
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Address Line | 125 MICHIGAN AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20017-1004
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Country | US
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Telephone | 202-884-9096
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Fax |
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Provider Business Mailing Address
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Address Line | 14819 COURTLANDT HEIGHTS RD
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City | WOODBRIDGE
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State | VA
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Zip | 22193-3149
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Country | US
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Telephone | 703-861-4310
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2000000798
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License Number State |
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