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General NPI Number Information
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NPI Number | 1114331196
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Entity Type | Individual
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Provider Name | OMAR ALI USMAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 01/11/2025
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Provider Practice Location Address
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Address Line | 1751 PINNACLE DR STE 600
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City | TYSONS
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State | VA
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Zip | 22102-4007
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Country | US
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Telephone | 703-810-3868
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Fax | 571-601-2803
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Provider Business Mailing Address
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Address Line | 5342 WOODBURY WOODS PL
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City | FAIRFAX
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State | VA
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Zip | 22032-3729
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Country | US
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Telephone | 248-767-9656
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Fax | 571-601-2803
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101277935
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2083C0008X
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Taxonomy Name | Clinical Informatics Physician
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License Number | 0101277935
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101277935
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License Number State | VA
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