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General NPI Number Information
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NPI Number | 1154771939
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Entity Type | Individual
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Provider Name | SIRAC ARTURO CARDOZA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 502 W BROAD ST
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3204
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Country | US
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Telephone | 571-421-8431
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Fax |
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Provider Business Mailing Address
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Address Line | 7415 BEVERLY RD
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City | BETHESDA
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State | MD
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Zip | 20814-2333
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Country | US
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Telephone |
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Fax |
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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 | ME149238
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License Number State | FL
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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 | MD047874
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License Number State | DC
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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 | 0101249866
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License Number State | VA
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