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General NPI Number Information
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NPI Number | 1730873878
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Entity Type | Individual
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Provider Name | SABRINA LUCIA HERNANDEZ BARAZARTE
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Gender | Female
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Dates
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Enumeration Date | 06/02/2023
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 43480 YUKON DR STE 204
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City | ASHBURN
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State | VA
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Zip | 20147-6988
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Country | US
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Telephone | 703-729-8277
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Fax |
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Provider Business Mailing Address
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Address Line | 45591 DULLES EASTERN PLZ STE 132, BOX 125
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City | STERLING
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State | VA
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Zip | 20166-8925
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Country | US
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Telephone | 786-448-8610
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401419195
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License Number State | VA
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