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General NPI Number Information
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NPI Number | 1306881941
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Entity Type | Organization
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Legal Business Name | ROYA AZARMAHAN, M.D.
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 1715 N GEORGE MASON DR SUITE 501
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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 | 703-812-3820
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Fax | 703-812-3822
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Provider Business Mailing Address
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Address Line | 1715 N GEORGE MASON DR SUITE 501
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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 | 703-812-3820
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Fax | 703-812-3822
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Authorized Official
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Title or Position | DOCTOR
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Name | MRS. ROYA AZAR-MAHAN
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Credential | M.D.
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Telephone | 703-812-3820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0101050996
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License Number State | VA
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