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General NPI Number Information
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NPI Number | 1871146928
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Entity Type | Individual
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Provider Name | ALEXANDRIA SHEERAN NP
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Gender | Female
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 1625 N GEORGE MASON DR
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City | ARLINGTON
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State | VA
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Zip | 22205-3683
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Country | US
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Telephone | 703-558-6168
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Fax |
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Provider Business Mailing Address
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Address Line | 7913 SAINT DENNIS DR
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City | SPRINGFIELD
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State | VA
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Zip | 22153-2711
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Country | US
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Telephone | 202-657-1271
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | AC002777
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AC002777
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License Number State | MD
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