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General NPI Number Information
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NPI Number | 1053342592
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Entity Type | Individual
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Provider Name | EDWARD CHARLES RABBITT M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 03/22/2012
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Provider Practice Location Address
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Address Line | 6355 WALKER LN SUITE 501
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City | ALEXANDRIA
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State | VA
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Zip | 22310-3245
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Country | US
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Telephone | 703-765-4321
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Fax | 703-971-0958
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Provider Business Mailing Address
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Address Line | 6355 WALKER LN SUITE 501
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City | ALEXANDRIA
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State | VA
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Zip | 22310-3245
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Country | US
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Telephone | 703-765-4321
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Fax | 703-971-0958
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | D0030644
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0101036585
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD14460
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License Number State | DC
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