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General NPI Number Information
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NPI Number | 1043789423
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Entity Type | Organization
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Legal Business Name | AHMED ELEBIARY MD
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Dates
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Enumeration Date | 11/15/2018
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Last Update Date | 01/01/2024
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Provider Practice Location Address
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Address Line | 900 VIRGINIA AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22302-3200
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Country | US
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Telephone | 703-705-9500
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Fax | 571-685-2016
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Provider Business Mailing Address
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Address Line | 3114 PATRICK HENRY DR
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City | FALLS CHURCH
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State | VA
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Zip | 22044-1823
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Country | US
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Telephone | 703-705-9500
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Fax | 571-685-2016
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Authorized Official
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Title or Position | OWNER
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Name | DR. AHMED ELEBIARY
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Credential |
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Telephone | 703-705-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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