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General NPI Number Information
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NPI Number | 1083830418
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Entity Type | Individual
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Provider Name | MONICA KHARBANDA MD
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Gender | Female
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 6090 FRANCONIA RD SUITE A
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City | ALEXANDRIA
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State | VA
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Zip | 22310-4430
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Country | US
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Telephone | 703-922-0021
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Fax |
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Provider Business Mailing Address
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Address Line | 6090 FRANCONIA ROAD SUITE A
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City | ALEXANDRIA
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State | VA
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Zip | 22310
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Country | US
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Telephone | 703-922-0021
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 57011788
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101247522
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License Number State | VA
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