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General NPI Number Information
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NPI Number | 1194230920
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Entity Type | Individual
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Provider Name | WAHEEDULLAH ABBASI
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Gender | Male
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Dates
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Enumeration Date | 12/01/2017
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Last Update Date | 12/01/2017
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Provider Practice Location Address
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Address Line | 2405 COLUMBIA PIKE
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City | ARLINGTON
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State | VA
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Zip | 22204-4400
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Country | US
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Telephone | 703-553-1094
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Fax |
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Provider Business Mailing Address
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Address Line | 2405 COLUMBIA PIKE
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City | ARLINGTON
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State | VA
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Zip | 22204-4400
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Country | US
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Telephone | 703-553-1094
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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 | 156FX1202X
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Taxonomy Name | Optometric Technician
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License Number | 200917
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License Number State | VA
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