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General NPI Number Information
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NPI Number | 1336856095
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Entity Type | Organization
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Legal Business Name | THE ANDERSON CLINIC LLC
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1886 METRO CENTER DR STE 300
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City | RESTON
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State | VA
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Zip | 20190-5291
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Country | US
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Telephone | 703-892-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 S SHIRLINGTON RD STE 1000
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City | ARLINGTON
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State | VA
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Zip | 22206-3614
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Country | US
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Telephone | 703-892-6500
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Fax | 703-521-3415
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Authorized Official
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Title or Position | OFFICE MANAGER-DELEGATED OFFICAL
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Name | JANICE D HORDGE
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Credential |
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Telephone | 703-769-8423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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