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General NPI Number Information
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NPI Number | 1114143773
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Entity Type | Organization
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Legal Business Name | AMIR AHMADIYAR DC PC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 12/28/2024
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Provider Practice Location Address
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Address Line | 3301 WOODBURN RD # 206
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City | ANNANDALE
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State | VA
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Zip | 22003-1229
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Country | US
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Telephone | 703-538-5455
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Fax | 703-538-6675
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Provider Business Mailing Address
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Address Line | 3301 WOODBURN RD # 206
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City | ANNANDALE
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State | VA
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Zip | 22003-1229
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Country | US
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Telephone | 703-538-5455
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Fax | 703-538-6675
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Authorized Official
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Title or Position | OFFICEMANAGER
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Name | ALBALUZ AHMADIYAR
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Credential |
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Telephone | 703-538-5455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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