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General NPI Number Information
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NPI Number | 1801339031
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Entity Type | Organization
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Legal Business Name | PATRICIA PORTER ADAMS ANP LLC
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Dates
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Enumeration Date | 11/20/2016
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Last Update Date | 11/20/2016
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Provider Practice Location Address
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Address Line | 8621 FORT HUNT RD
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City | ALEXANDRIA
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State | VA
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Zip | 22308-2522
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Country | US
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Telephone | 703-257-3753
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Fax | 703-360-3676
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Provider Business Mailing Address
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Address Line | 8621 FORT HUNT RD
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City | ALEXANDRIA
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State | VA
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Zip | 22308-2522
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Country | US
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Telephone | 703-257-3753
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Fax | 703-360-3676
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. PATRICIA PORTER ADAMS
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Credential | NP
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Telephone | 703-257-3753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024108516
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License Number State | VA
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