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General NPI Number Information
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NPI Number | 1235029612
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Entity Type | Organization
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Legal Business Name | VIRGINIA INTERNAL MEDICINE INC
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 3710 LANGSTON BLVD
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City | ARLINGTON
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State | VA
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Zip | 22207-3721
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Country | US
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Telephone | 703-243-7640
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Fax |
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Provider Business Mailing Address
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Address Line | 41816 FENWAY CIR
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City | ASHBURN
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State | VA
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Zip | 20148-8069
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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 | BILLING MANAGER
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Name | KRYSTLE D BROWN
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Credential |
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Telephone | 410-870-9380
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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 |
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License Number State |
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