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General NPI Number Information
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NPI Number | 1902470883
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Entity Type | Individual
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Provider Name | ALEXANDRA PRICE NP
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Gender | Female
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Dates
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Enumeration Date | 05/16/2021
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Last Update Date | 05/16/2021
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Provider Practice Location Address
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Address Line | 44121 HARRY BYRD HWY STE 215
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City | ASHBURN
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State | VA
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Zip | 20147-5667
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Country | US
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Telephone | 301-514-7828
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Fax |
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Provider Business Mailing Address
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Address Line | 8471 BALD EAGLE LN
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City | FREDERICK
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State | MD
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Zip | 21704-6799
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Country | US
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Telephone |
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 0024181110
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License Number State | VA
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