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General NPI Number Information
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NPI Number | 1952025215
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Entity Type | Individual
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Provider Name | GABRIELLE AKUA SARPONG RN
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Gender | Female
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Dates
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Enumeration Date | 09/30/2022
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 5893 ANTHONY DR
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City | WOODBRIDGE
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State | VA
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Zip | 22193-3619
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Country | US
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Telephone | 703-730-0302
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Fax | 703-730-0300
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Provider Business Mailing Address
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Address Line | 16025 EAGLE ROOST CT
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City | WOODBRIDGE
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State | VA
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Zip | 22191-4353
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Country | US
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Telephone | 703-730-0302
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Fax | 703-730-0300
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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 | 24193461
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License Number State | VA
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