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Individual

ANA VERONICA S KOPELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
10301 DEMOCRACY LN STE 203, FAIRFAX, VA 22030-2545
(571) 407-7816
(703) 223-5042
Mailing address
10301 DEMOCRACY LN STE 203, FAIRFAX, VA 22030-2545
(571) 407-7816
(703) 223-5042

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009171
VA
363A00000X
Physician Assistant
PA12815
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598280836
VA
05
30017619460001
VA
05
402362401
TX
01
402362402
CSHCN
TX
Enumeration date
08/08/2017
Last updated
06/23/2025
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