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General NPI Number Information
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NPI Number | 1063881704
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Entity Type | Organization
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Legal Business Name | NABI SANTE INC
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Dates
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Enumeration Date | 09/23/2015
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Last Update Date | 09/23/2015
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Provider Practice Location Address
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Address Line | 1276 N WAYNE ST SUITE #506
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City | ARLINGTON
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State | VA
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Zip | 22201-5848
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Country | US
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Telephone | 202-368-4903
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Fax | 202-863-1320
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Provider Business Mailing Address
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Address Line | 430 M ST SW APT NO 105
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City | WASHINGTON
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State | DC
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Zip | 20024-2602
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Country | US
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Telephone | 202-368-4903
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Fax | 202-863-1320
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Authorized Official
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Title or Position | OWNER
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Name | ANISSA NABI
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Credential | MD
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Telephone | 202-368-4903
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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 | D0062289
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License Number State | MD
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