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NPI 1205950284

NPI 1205950284 : ROSEMARY IWUNZE MD : FREDERICKSBURG, VA

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General NPI Number Information
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    NPI Number           |    1205950284
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    Entity Type          |    Individual 
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    Provider Name        |    ROSEMARY IWUNZE MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/16/2007
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    Last Update Date     |    07/13/2022
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Provider Practice Location Address
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    Address Line         |    1101 SAM PERRY BLVD STE 307 
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    City                 |    FREDERICKSBURG
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    State                |    VA
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    Zip                  |    22401-4466
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    Country              |    US
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    Telephone            |    540-374-3277
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    Fax                  |    540-741-9744
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Provider Business Mailing Address
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    Address Line         |    2300 FALL HILL AVE STE 317 
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    City                 |    FREDERICKSBURG
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    State                |    VA
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    Zip                  |    22401-3343
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    Country              |    US
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    Telephone            |    407-411-1005
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    Fax                  |    540-741-3554
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    D0065720
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    0101263347
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    License Number State |    VA
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