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General NPI Number Information
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NPI Number | 1194068577
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Entity Type | Organization
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Legal Business Name | KRAIDY & ALKAFFAF, LLC
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 9025 KIGER STREET
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City | LORTON
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State | VA
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Zip | 22079
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Country | US
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Telephone | 517-575-3653
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Fax |
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Provider Business Mailing Address
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Address Line | 9025 KIGER STREET
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City | LORTON
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State | VA
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Zip | 22079
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Country | US
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Telephone | 517-575-3653
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ABDULKAREEM I KRAIDY
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Credential | M.D.
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Telephone | 517-575-3653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 010236776
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License Number State | VA
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