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General NPI Number Information
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NPI Number | 1184253510
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Entity Type | Individual
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Provider Name | ARYA MOHAMMAD REZA LOGHMANI
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Gender | Male
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 14904 RICHMOND HWY STE 203
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3908
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Country | US
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Telephone | 703-492-6660
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Fax |
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Provider Business Mailing Address
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Address Line | 14904 RICHMOND HWY STE 203
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3908
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Country | US
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Telephone | 703-492-6660
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 0102209509
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 338965
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 338965
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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