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General NPI Number Information
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NPI Number | 1083103592
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Entity Type | Organization
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Legal Business Name | PREMIER OB/GYN ASSOCIATES LLC
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Dates
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Enumeration Date | 05/09/2018
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3700 JOSEPH SIEWICK DR STE 102
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City | FAIRFAX
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State | VA
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Zip | 22033-1737
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Country | US
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Telephone | 202-258-2580
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Fax |
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Provider Business Mailing Address
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Address Line | 11118 SWEETWOOD LN
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City | OAKTON
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State | VA
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Zip | 22124-1340
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Country | US
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Telephone | 202-258-2580
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. DAVID AFRAM
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Credential | MD
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Telephone | 202-258-2580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101242511
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License Number State | VA
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