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General NPI Number Information
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NPI Number | 1205100302
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Entity Type | Organization
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Legal Business Name | NEUROMUSCULAR, SPINE AND JOINT CARE SPECIALISTS, PLLC
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 2729 KING ST
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City | ALEXANDRIA
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State | VA
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Zip | 22302-4008
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Country | US
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Telephone | 703-599-9496
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Fax | 703-503-2246
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Provider Business Mailing Address
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Address Line | 6920 BRADDOCK ROAD SUITE B122
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City | ANNANDALE
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State | VA
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Zip | 22003-0000
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Country | US
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Telephone | 703-599-9496
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Fax | 703-503-2246
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Authorized Official
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Title or Position | MD/OWNER
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Name | MARGARET GRAYNOVSKY
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Credential | M.D.
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Telephone | 703-599-9496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 0101226840
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License Number State | VA
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