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General NPI Number Information
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NPI Number | 1841123460
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Entity Type | Individual
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Provider Name | MARILYN KENESTON
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Gender | Female
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 8100 BOONE BLVD STE 720
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City | TYSONS CORNER
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State | VA
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Zip | 22182-2683
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Country | US
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Telephone | 703-454-5544
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Fax |
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Provider Business Mailing Address
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Address Line | 474 BLOOMINGROVE DR
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City | TROY
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State | NY
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Zip | 12180-8616
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Country | US
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Telephone | 518-944-8123
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | VA
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