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General NPI Number Information
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NPI Number | 1336542042
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Entity Type | Organization
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Legal Business Name | FRANCONIA PEDIATRICS ASSOCIATES
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Dates
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Enumeration Date | 10/08/2014
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Last Update Date | 10/08/2014
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Provider Practice Location Address
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Address Line | 6078 FRANCONIA ROAD STE A/B
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City | ALEXANDRIA
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State | VA
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Zip | 22310
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Country | US
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Telephone | 703-921-0256
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Fax | 703-921-0257
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Provider Business Mailing Address
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Address Line | 6078 FRANCONIA ROAD STE A/B
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City | ALEXANDRIA
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State | VA
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Zip | 22310
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Country | US
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Telephone | 703-921-0256
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Fax | 703-921-0257
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUSHANT RAM NAVALKAR
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Credential | MD
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Telephone | 216-906-4382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 0101247587
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License Number State | VA
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