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General NPI Number Information
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NPI Number | 1851560254
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Entity Type | Individual
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Provider Name | SILVIA Y GAZONI FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 01/26/2009
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Provider Practice Location Address
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Address Line | 337 MAPLE AVE E
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City | VIENNA
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State | VA
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Zip | 22180-4717
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Country | US
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Telephone | 703-887-4883
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Fax |
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Provider Business Mailing Address
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Address Line | 3108 BRADFORD WOOD CT
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City | OAKTON
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State | VA
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Zip | 22124-2732
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Country | US
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Telephone | 703-242-3515
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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 | 0024165821
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License Number State | VA
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