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General NPI Number Information
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NPI Number | 1346565967
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Entity Type | Organization
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Legal Business Name | SAMAD ORAEE, M.D., P.C.
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 01/09/2017
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Provider Practice Location Address
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Address Line | 2050 OLD BRIDGE RD SUITE 200
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2481
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Country | US
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Telephone | 703-492-7626
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Fax | 703-492-7537
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Provider Business Mailing Address
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Address Line | 2050 OLD BRIDGE RD SUITE 200
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City | WOODBRIDGE
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State | VA
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Zip | 22192-2481
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Country | US
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Telephone | 703-492-7626
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Fax | 703-492-7537
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | SAMAD ORAEE
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Credential | M.D.
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Telephone | 703-492-7626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 0101049783
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License Number State | VA
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