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General NPI Number Information
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NPI Number | 1346750320
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Entity Type | Organization
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Legal Business Name | VIRGINIA GERIATRICS, PC
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Dates
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Enumeration Date | 10/04/2017
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Last Update Date | 10/04/2017
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Provider Practice Location Address
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Address Line | 41816 FENWAY CIR
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City | ASHBURN
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State | VA
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Zip | 20148-8069
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Country | US
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Telephone | 347-761-7200
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Fax | 703-327-1166
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Provider Business Mailing Address
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Address Line | 41816 FENWAY CIR
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City | ASHBURN
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State | VA
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Zip | 20148-8069
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Country | US
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Telephone | 347-761-7200
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Fax | 703-327-1166
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMR BEHIRI
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Credential | MD
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Telephone | 347-761-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 0102202559
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License Number State | VA
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