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General NPI Number Information
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NPI Number | 1043246861
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Entity Type | Individual
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Provider Name | DIVYANG J TRIVEDI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 10/19/2022
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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
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Country | US
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Telephone | 703-776-4289
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Fax | 703-780-9487
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Provider Business Mailing 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 | 703-776-4289
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Fax | 703-780-9487
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 0101045180
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101045180
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 0101045180
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 0101045180
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 0101045180
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License Number State | VA
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