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General NPI Number Information
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NPI Number | 1104929462
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Entity Type | Individual
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Provider Name | VIVEK P SINHA MD
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Gender | Male
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 113 S WEST ST SUITE 204
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2858
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Country | US
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Telephone | 703-348-5603
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Fax | 703-348-5603
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Provider Business Mailing Address
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Address Line | 3714 IVANHOE LN
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City | ALEXANDRIA
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State | VA
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Zip | 22310-2156
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Country | US
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Telephone | 516-810-4662
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Fax | 703-348-5603
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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 | D0066720
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101255878
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD042074
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License Number State | DC
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