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General NPI Number Information
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NPI Number | 1083703169
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Entity Type | Individual
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Provider Name | GITA HADDADI MD
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 337 WESTSIDE STATION DR
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City | WINCHESTER
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State | VA
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Zip | 22601-2840
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Country | US
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Telephone | 540-667-5400
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Fax | 540-722-9516
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Provider Business Mailing Address
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Address Line | 337 WESTSIDE STATION DR
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City | WINCHESTER
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State | VA
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Zip | 22601-2840
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Country | US
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Telephone | 540-667-5400
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Fax | 540-722-9516
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101240183
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License Number State | VA
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