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General NPI Number Information
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NPI Number | 1205384534
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Entity Type | Organization
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Legal Business Name | VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP LLC
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Dates
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Enumeration Date | 09/15/2016
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Last Update Date | 04/28/2017
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Provider Practice Location Address
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Address Line | 1625 N GEORGE MASON DR SUITE 425
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City | ARLINGTON
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State | VA
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Zip | 22205-3683
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Country | US
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Telephone | 703-717-4502
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Fax | 703-717-4529
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Provider Business Mailing Address
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Address Line | 1715 N GEORGE MASON DR SUITE 402
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City | ARLINGTON
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State | VA
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Zip | 22205-3609
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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 | CFO
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Name | MS. ROBIN DEPAOLI
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Credential |
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Telephone | 703-558-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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