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General NPI Number Information
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NPI Number | 1124110390
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Entity Type | Organization
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Legal Business Name | NORTHERN VIRGINIA ONCOLOGY GROUP, P.C.
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8505 ARLINGTON BLVD SUITE 400
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City | FAIRFAX
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State | VA
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Zip | 22031-4621
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Country | US
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Telephone | 703-560-3205
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Fax |
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Provider Business Mailing Address
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Address Line | 8505 ARLINGTON BLVD SUITE 400
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City | FAIRFAX
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State | VA
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Zip | 22031-4621
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Country | US
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Telephone | 703-560-3205
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. JOYCE A MILLER
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Credential |
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Telephone | 703-560-3205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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