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General NPI Number Information
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NPI Number | 1184244808
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Entity Type | Organization
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Legal Business Name | WASHINGTON INTERNAL MEDICINE LLC
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 4229 LAFAYETTE CENTER DR STE 1125B-1
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City | CHANTILLY
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State | VA
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Zip | 20151-1261
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Country | US
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Telephone | 703-436-9969
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Fax | 703-574-5585
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Provider Business Mailing Address
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Address Line | PO BOX 959
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City | HERNDON
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State | VA
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Zip | 20172-0959
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Country | US
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Telephone | 703-436-9969
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Fax | 703-574-5585
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | DR. SOHAN R. VARMA
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Credential | M.D.
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Telephone | 703-436-9969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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