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General NPI Number Information
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NPI Number | 1992359889
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Entity Type | Individual
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Provider Name | FAUSTINA DARKO SARPONG APRN-PHMNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | ALEXANDRIA RESIDENTIAL TREATMENT CENTER 2355 MILL RD
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City | ALEXANDRIA
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State | VA
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Zip | 22314
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Country | US
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Telephone | 730-746-3636
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Fax |
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Provider Business Mailing Address
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Address Line | 4405 WHITMER DR APT 10
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City | WOODBRIDGE
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State | VA
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Zip | 22193-2925
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Country | US
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Telephone | 571-274-7059
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001264302
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024195915
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License Number State | VA
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