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General NPI Number Information
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NPI Number | 1255646311
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Entity Type | Organization
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Legal Business Name | APHERESIS ASSOCIATES OF NORTHERN VIRGINIA, LLC
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | 3289 WOODBURN RD SUITE 220
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City | ANNANDALE
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State | VA
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Zip | 22003-6800
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Country | US
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Telephone | 703-698-1079
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Fax |
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Provider Business Mailing Address
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Address Line | 43760 TRADE CENTER PL SUITE 100
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City | DULLES
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State | VA
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Zip | 20166-2188
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Country | US
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Telephone | 877-648-9150
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SUSAN M FRITZEL
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Credential | HP(ASCP)
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Telephone | 703-698-1079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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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 | 331L00000X
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Taxonomy Name | Blood Bank
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License Number |
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License Number State |
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