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General NPI Number Information
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NPI Number | 1811022650
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Entity Type | Individual
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Provider Name | JOAN ALEXANDRA GABER CFNP
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 04/29/2013
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Provider Practice Location Address
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Address Line | 4113 STEVENSON ST
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City | FAIRFAX
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State | VA
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Zip | 22030-5617
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Country | US
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Telephone | 703-460-6200
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Fax | 703-460-6229
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Provider Business Mailing Address
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Address Line | 14816 CARLBERN DR
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City | CENTREVILLE
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State | VA
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Zip | 20120-1506
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Country | US
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Telephone | 703-830-8506
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024098365
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License Number State | VA
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