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General NPI Number Information
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NPI Number | 1053847293
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Entity Type | Organization
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Legal Business Name | VIRGINIA CANCER SPECIALISTS, P.C.
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Dates
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Enumeration Date | 05/09/2017
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 8613 ROUTE 29 STE 200
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City | FAIRFAX
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State | VA
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Zip | 22031-2172
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Country | US
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Telephone | 703-208-9231
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Fax | 703-940-8705
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Provider Business Mailing Address
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Address Line | 8613 ROUTE 29 STE 200
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City | FAIRFAX
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State | VA
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Zip | 22031-2172
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Country | US
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Telephone | 703-208-9231
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Fax | 703-940-8705
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | PAMELA FAYE FRANK
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Credential |
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Telephone | 703-208-3963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0201004756
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License Number State | VA
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