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General NPI Number Information
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NPI Number | 1942197827
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Entity Type | Individual
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Provider Name | MARIANNE BRIONES MANUBAG NP
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Gender | Female
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 8100 ASHTON AVE STE 101
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City | MANASSAS
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State | VA
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Zip | 20109-5647
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Country | US
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Telephone | 703-527-8090
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Fax | 703-257-7822
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Provider Business Mailing Address
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Address Line | 381 ELDEN ST STE 1000
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City | HERNDON
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State | VA
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Zip | 20170-4842
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Country | US
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Telephone | 703-481-1505
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Fax | 703-742-8793
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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 | 0001311644
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License Number State | VA
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