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General NPI Number Information
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NPI Number | 1154618445
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Entity Type | Individual
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Provider Name | DR. SAID ELFAYAR
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Gender | Male
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Dates
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Enumeration Date | 07/07/2011
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Last Update Date | 02/05/2018
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Provider Practice Location Address
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Address Line | 140 WEST PARKER RD SUITE A
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City | DANVILLE
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State | VA
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Zip | 24540
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Country | US
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Telephone | 434-688-0519
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Fax | 434-688-0517
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Provider Business Mailing Address
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Address Line | 140 PARKER RD W STE A
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City | DANVILLE
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State | VA
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Zip | 24540-7425
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Country | US
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Telephone | 434-688-0519
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Fax | 434-688-0517
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 34D1106621
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License Number State | VA
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