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General NPI Number Information
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NPI Number | 1679325971
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Entity Type | Individual
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Provider Name | BEZA MESFIN
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Gender | Female
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Dates
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Enumeration Date | 04/02/2024
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 1313 DOLLEY MADISON BOULEVARD, SUITE 104
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City | MCLEAN
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State | VA
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Zip | 22101-3926
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Country | US
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Telephone | 703-263-8282
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Fax | 571-378-0889
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Provider Business Mailing Address
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Address Line | 224-D CORNWALL STREET, NW, STE 403
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City | LEESBURG, VA
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State | VA
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Zip | 20176-2704
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Country | US
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Telephone | 703-737-6010
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Fax | 703-443-8643
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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 | 2022094539
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License Number State | VA
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