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General NPI Number Information
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NPI Number | 1851720783
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Entity Type | Individual
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Provider Name | SALLY A MARKELL NP
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Gender | Female
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Dates
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Enumeration Date | 11/01/2013
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 110 IRVING ST NW
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City | WASHINGTON
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State | DC
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Zip | 20010-3017
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Country | US
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Telephone | 202-877-5423
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Fax |
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Provider Business Mailing Address
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Address Line | 8294 LUCY AVE
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City | WARRENTON
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State | VA
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Zip | 20187-4104
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Country | US
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Telephone | 703-309-0220
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024171053
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN1027232
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License Number State | DC
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