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General NPI Number Information
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NPI Number | 1992462113
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Entity Type | Individual
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Provider Name | MANJULA DEVI PARNE RRT
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Gender | Female
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Dates
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Enumeration Date | 11/22/2021
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Last Update Date | 02/05/2023
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Provider Practice Location Address
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Address Line | 8301 ARLINGTON BLVD STE 209
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City | FAIRFAX
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State | VA
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Zip | 22031-2902
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Country | US
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Telephone | 571-217-0010
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Fax |
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Provider Business Mailing Address
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Address Line | 25501 EMERSON OAKS DR
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City | ALDIE
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State | VA
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Zip | 20105-3125
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Country | US
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Telephone | 571-217-0010
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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 | 2278P1006X
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Taxonomy Name | Pulmonary Function Technologist Certified Respiratory Therapist
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License Number | 0117005867
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225B00000X
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Taxonomy Name | Pulmonary Function Technologist
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License Number | 0117005867
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License Number State | VA
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