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General NPI Number Information
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NPI Number | 1326011958
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Entity Type | Individual
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Provider Name | KAMBEEZ BERENJI MD
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 07/20/2023
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Provider Practice Location Address
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Address Line | 2022 OPITZ BLVD STE A&B
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3323
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Country | US
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Telephone | 571-398-2341
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Fax | 571-398-6388
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Provider Business Mailing Address
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Address Line | 2022 OPITZ BLVD STE A&B
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3323
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Country | US
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Telephone | 571-398-2341
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Fax | 571-398-6388
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101242617
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 0101242617
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License Number State | VA
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