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General NPI Number Information
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NPI Number | 1225281678
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Entity Type | Organization
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Legal Business Name | VIRGINIA CHIANTELLA MD PC
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 821 S KING ST STE D
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City | LEESBURG
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State | VA
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Zip | 20175-3914
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Country | US
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Telephone | 703-737-7333
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Fax | 703-669-9670
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Provider Business Mailing Address
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Address Line | 821 S KING ST STE D
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City | LEESBURG
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State | VA
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Zip | 20175-3914
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Country | US
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Telephone | 703-737-7333
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Fax | 703-669-9670
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Authorized Official
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Title or Position | OWNER
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Name | VIRGINIA CHIANTELLA
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Credential | MD
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Telephone | 703-737-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 0101043229
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License Number State | VA
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