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General NPI Number Information
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NPI Number | 1689068611
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Entity Type | Individual
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Provider Name | TRACY FRANCIS YAGER NP
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Gender | Female
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 38 MARYLAND AVENUE APARTMENT 421
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City | ROCKVILLE
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State | MD
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Zip | 20850
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Country | US
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Telephone | 804-874-0650
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Fax | 804-622-0552
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Provider Business Mailing Address
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Address Line | 38 MARYLAND AVENUE APARTMENT 421
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City | ROCKVILLE
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State | MD
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Zip | 20850
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Country | US
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Telephone | 804-874-0650
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Fax | 804-622-0552
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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 | 0024172423
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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 | 00.01208013
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN1051472
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AC002632
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License Number State | MD
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