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General NPI Number Information
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NPI Number | 1275545196
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Entity Type | Individual
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Provider Name | SYED J MURTAZA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 493 BLACKWELL RD STE 317A
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City | WARRENTON
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State | VA
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Zip | 20186-2628
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Country | US
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Telephone | 540-316-2660
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Fax | 540-316-5001
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Provider Business Mailing Address
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Address Line | 43575 WORLD WOODS CT
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City | ASHBURN
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State | VA
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Zip | 20147-4178
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Country | US
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Telephone | 540-316-2660
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101238282
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 0101238282
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License Number State | VA
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