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General NPI Number Information
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NPI Number | 1376402917
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Entity Type | Organization
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Legal Business Name | FAIRFAX URGENT CARE LLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 8191 STRAWBERRY LN STE 6
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City | FALLS CHURCH
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State | VA
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Zip | 22042-1032
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Country | US
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Telephone | 703-493-0404
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Fax | 571-730-4838
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Provider Business Mailing Address
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Address Line | 8191 STRAWBERRY LN STE 6
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City | FALLS CHURCH
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State | VA
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Zip | 22042-1032
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Country | US
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Telephone | 703-493-0404
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Fax | 571-730-4838
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Authorized Official
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Title or Position | MD/OWNER
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Name | KIREN MACON DAYAL
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Credential |
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Telephone | 407-970-9383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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