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General NPI Number Information
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NPI Number | 1982160891
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Entity Type | Individual
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Provider Name | BLAINE SARAH TOTH CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/15/2019
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 3300 GALLOWS RD
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3307
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Country | US
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Telephone | 703-698-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 43750 LEES MILL SQ
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City | LEESBURG
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State | VA
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Zip | 20176-3821
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Country | US
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Telephone | 301-366-3299
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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 | AC002615
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024180252
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License Number State | VA
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