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General NPI Number Information
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NPI Number | 1962571646
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Entity Type | Individual
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Provider Name | ANA LINCE MD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 4850 MARK CENTER DR
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City | ALEXANDRIA
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State | VA
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Zip | 22311-1882
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Country | US
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Telephone | 703-746-3444
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Fax | 703-746-3464
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Provider Business Mailing Address
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Address Line | 6340 WILLOWFIELD WAY
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City | SPRINGFIELD
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State | VA
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Zip | 22150-1039
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Country | US
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Telephone | 703-746-3444
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Fax | 703-746-3464
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101053532
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License Number State | VA
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