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General NPI Number Information
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NPI Number | 1174558258
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Entity Type | Organization
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Legal Business Name | DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 10777 MAIN ST SUITE 202
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City | FAIRFAX
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State | VA
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Zip | 22030-6903
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Country | US
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Telephone | 703-246-8695
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Fax |
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Provider Business Mailing Address
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Address Line | 12000 GOVERNMENT CENTER PKWY SUITE 552
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City | FAIRFAX
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State | VA
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Zip | 22035-0001
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Country | US
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Telephone | 703-324-3360
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Fax | 703-324-4573
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Authorized Official
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Title or Position | COUNTY EXECUTIVE
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Name | MR. ANTHONY GRIFFIN
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Credential |
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Telephone | 703-324-3360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | VA
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