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General NPI Number Information
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NPI Number | 1104013200
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Entity Type | Individual
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Provider Name | SOLMAZ FARAJNIA OD
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Gender | Female
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 20600 GORDON PARK SQ STE 150
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City | ASHBURN
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State | VA
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Zip | 20147-3145
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Country | US
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Telephone | 703-723-3433
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Fax | 703-723-1920
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Provider Business Mailing Address
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Address Line | 20600 GORDON PARK SQ STE 150
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City | ASHBURN
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State | VA
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Zip | 20147-3145
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Country | US
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Telephone | 703-723-3433
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OP1000177
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 0618001685
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618001685
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License Number State | VA
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