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General NPI Number Information
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NPI Number | 1164620027
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD HEALTH
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 02/12/2015
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Provider Practice Location Address
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Address Line | 2 E GLEBE
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City | ALEXANDRIA
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State | VA
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Zip | 22305
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Country | US
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Telephone | 703-565-5568
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Fax | 703-535-1583
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Provider Business Mailing Address
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Address Line | P.O. BOX 2518
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City | ALEXANDRIA
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State | VA
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Zip | 22301
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Country | US
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Telephone | 703-565-5568
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Fax | 703-224-3629
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Authorized Official
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Title or Position | ED/CEO
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Name | BASIM KHAN
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Credential | M.D.
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Telephone | 703-535-5568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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