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General NPI Number Information
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NPI Number | 1053567719
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Entity Type | Organization
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Legal Business Name | KAVEH PARVARESH, M.D., P.C.
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 611 S CARLIN SPRINGS RD STE 309
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City | ARLINGTON
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State | VA
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Zip | 22204-1086
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Country | US
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Telephone | 703-671-8444
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Fax | 703-671-2476
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Provider Business Mailing Address
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Address Line | PO BOX 11149
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City | ALEXANDRIA
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State | VA
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Zip | 22312-0149
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KAVEH PARVARESH
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Credential | MD
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Telephone | 703-671-8444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101238365
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License Number State | VA
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