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General NPI Number Information
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NPI Number | 1811567910
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Entity Type | Individual
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Provider Name | SANDRA IVETTE FIGUEROA
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Gender | Female
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 9275 DOERR RD BLDG 1221
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City | FORT BELVOIR
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State | VA
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Zip | 22060-3160
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Country | US
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Telephone | 229-460-1350
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Fax |
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Provider Business Mailing Address
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Address Line | 9001 GUNSTON RD UNIT 1304
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City | FORT BELVOIR
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State | VA
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Zip | 22060-3543
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Country | US
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Telephone | 229-460-7707
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 000796-P.A.
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License Number State | PR
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