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General NPI Number Information
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NPI Number | 1164557674
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Entity Type | Organization
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Legal Business Name | CIRCLE OF ONE, INC.
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 108 S COLUMBUS ST SUITE 300
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City | ALEXANDRIA
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State | VA
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Zip | 22314-3064
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Country | US
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Telephone | 703-585-7162
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Fax | 503-905-6583
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Provider Business Mailing Address
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Address Line | 6417 BLUEBILL LN
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City | ALEXANDRIA
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State | VA
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Zip | 22307-1340
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Country | US
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Telephone | 703-721-0069
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Fax | 503-905-6583
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Authorized Official
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Title or Position | PRESIDENT & CLINICAL DIRECTOR
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Name | MR. KOUROSH KASHANI
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Credential | L.AC., DIPL.AC.
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Telephone | 703-585-7162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0121000108
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License Number State | VA
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