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General NPI Number Information
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NPI Number | 1275749277
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Entity Type | Organization
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Legal Business Name | ALLERGY ASSOCIATES OF N. VIRGINIA, PLLC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 1715 N GEORGE MASON DR SUITE 502
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City | ARLINGTON
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State | VA
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Zip | 22205-3609
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Country | US
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Telephone | 703-558-6040
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Fax | 703-558-6042
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Provider Business Mailing Address
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Address Line | 1715 N GEORGE MASON DR SUITE 502
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City | ARLINGTON
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State | VA
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Zip | 22205-3609
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Country | US
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Telephone | 703-558-6040
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Fax | 703-558-6042
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. SALLY JOO BAILEY
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Credential | M.D.
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Telephone | 703-558-6040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 0101239697
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License Number State | VA
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