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General NPI Number Information
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NPI Number | 1194961672
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Entity Type | Organization
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Legal Business Name | WASHINGTON METROPOLITAN CARDIOLOGY, INC
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Dates
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Enumeration Date | 01/05/2009
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Last Update Date | 01/05/2009
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Provider Practice Location Address
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Address Line | 611 S CARLIN SPRINGS RD SUITE 201
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City | ARLINGTON
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State | VA
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Zip | 22204-1064
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Country | US
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Telephone | 703-933-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 611 S CARLIN SPRINGS RD SUITE 201
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City | ARLINGTON
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State | VA
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Zip | 22204-1064
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | HASTANA RASOULY
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Credential |
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Telephone | 703-933-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease
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License Number | 0101052178
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License Number State | VA
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