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General NPI Number Information
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NPI Number | 1851214381
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Entity Type | Organization
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Legal Business Name | ZION MEDICAL CLINIC LLC
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Dates
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Enumeration Date | 08/01/2026
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Last Update Date | 08/01/2026
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Provider Practice Location Address
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Address Line | 7100 COLUMBIA PIKE
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City | ANNANDALE
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State | VA
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Zip | 22003-3106
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Country | US
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Telephone | 703-634-3180
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Fax |
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Provider Business Mailing Address
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Address Line | 9429 MIRROR POND DR
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City | FAIRFAX
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State | VA
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Zip | 22032-1352
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Country | US
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Telephone | 703-801-6801
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ELIZABETH-JANE NGONGBO
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Credential |
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Telephone | 703-887-7758
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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