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General NPI Number Information
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NPI Number | 1932817715
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Entity Type | Individual
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Provider Name | RUTH ESMERALDA MENA AKYATAN
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Gender | Female
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 6201 LEESBURG PIKE STE 410
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2201
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Country | US
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Telephone | 551-297-6391
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Fax |
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Provider Business Mailing Address
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Address Line | 585 GROVE ST STE 145
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City | HERNDON
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State | VA
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Zip | 20170-4791
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Country | US
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Telephone | 551-297-6391
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024184057
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License Number State | VA
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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 | 0024184057
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License Number State | VA
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