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General NPI Number Information
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NPI Number | 1689383655
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Entity Type | Organization
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Legal Business Name | FIRST ALLIED PSYCHIATRY
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Dates
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Enumeration Date | 11/18/2022
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 22363 ROANOKE RISE TER
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City | ASHBURN
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State | VA
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Zip | 20148
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Country | US
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Telephone | 703-988-7555
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Fax |
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Provider Business Mailing Address
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Address Line | 44679 ENDICOTT DR STE 300
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City | ASHBURN
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State | VA
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Zip | 20147-5567
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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 | NURSE PRACTITIONER
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Name | DR. PATRICIA OBENG
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Credential | DNP,PMHNP-BC, FNP-BC
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Telephone | 571-209-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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