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General NPI Number Information
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NPI Number | 1750234670
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Entity Type | Organization
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Legal Business Name | PASSIONATE NURSE PRACTITIONER SERVICES LLC
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 8010 GEORGE FOX PL
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City | LORTON
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State | VA
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Zip | 22079-2347
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Country | US
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Telephone | 703-819-4313
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Fax |
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Provider Business Mailing Address
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Address Line | 8010 GEORGE FOX PL
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City | LORTON
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State | VA
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Zip | 22079-2347
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Country | US
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Telephone | 703-819-4313
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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 | KHADIJA MACAULLY
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Credential | NP
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Telephone | 540-571-0299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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