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General NPI Number Information
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NPI Number | 1972566966
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Entity Type | Individual
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Provider Name | LATIFAT A HASSAN FNP
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Gender | Female
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | DEPARTMENT OF THE ARMY,MARY WALKER CLINIC,BLD 170
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City | FORT IRWIN
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State | CA
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Zip | 92310
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Country | US
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Telephone | 760-380-7396
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Fax | 760-380-4409
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Provider Business Mailing Address
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Address Line | 4210 KUALA LUMPUR PL
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City | DULLES
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State | VA
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Zip | 20189-4209
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Country | US
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Telephone | 240-779-1677
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP500019803
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License Number State | DC
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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 | 0024167416
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License Number State | VA
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