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General NPI Number Information
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NPI Number | 1033072103
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Entity Type | Organization
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Legal Business Name | PRM GYNECOLOGY OF VIRGINIA PC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 6565 ARLINGTON BLVD STE 404
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3000
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Country | US
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Telephone | 703-637-3282
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Fax |
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Provider Business Mailing Address
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Address Line | 2090 PALM BEACH LAKES BLVD STE 700
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6508
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Country | US
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Telephone | 561-422-4206
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Fax | 561-422-4206
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Authorized Official
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Title or Position | DIRECTOR RCM
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Name | JANE LAGNESE JANE LAGNESE
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Credential |
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Telephone | 561-422-4206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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