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General NPI Number Information
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NPI Number | 1316766181
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Entity Type | Organization
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Legal Business Name | CAPITAL AREA PHYSICIAN WEIGHT & WELLNESS CENTER, INC
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 2235 CEDAR LN STE 302
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City | VIENNA
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State | VA
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Zip | 22182-5247
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Country | US
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Telephone | 703-255-6010
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Fax | 703-255-6011
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Provider Business Mailing Address
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Address Line | 44121 LEESBURG PIKE STE 250
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City | ASHBURN
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State | VA
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Zip | 20147-5674
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Country | US
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Telephone | 703-255-6010
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Fax | 703-255-6011
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SREE GOGINENI
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Credential | MD
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Telephone | 703-593-9341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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