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General NPI Number Information
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NPI Number | 1780765982
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Entity Type | Individual
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Provider Name | CHERYL LYNN TOULOUSE FNP
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | ENDOCRINE AND DIABETES CENTER 2200 OPITZ BLVD, SUITE 250
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City | WOODBRIDGE
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State | VA
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Zip | 20112
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Country | US
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Telephone | 703-494-5858
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Fax | 703-491-1416
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Provider Business Mailing Address
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Address Line | 7119 KNOTTY OAK LN
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City | MANASSAS
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State | VA
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Zip | 20112-3234
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Country | US
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Telephone | 703-494-5858
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Fax | 703-491-1416
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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 | 0024110573
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License Number State | VA
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