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General NPI Number Information
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NPI Number | 1225130966
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Entity Type | Individual
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Provider Name | ALI MOSHIRFAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 19450 DEERFIELD AVE STE 300
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City | LEESBURG
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State | VA
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Zip | 20176-6821
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Country | US
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Telephone | 703-723-6774
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Fax | 703-723-1494
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Provider Business Mailing Address
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Address Line | 224-D CORNWALL STREET, NW, SUITE 403
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City | LEESBURG
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State | VA
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Zip | 20176-2704
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Country | US
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Telephone | 703-737-6010
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Fax | 703-443-8643
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | D0061155
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 0101235832
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License Number State | VA
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