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General NPI Number Information
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NPI Number | 1376456640
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Entity Type | Organization
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Legal Business Name | PRATHER MEDICINE, PC
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 3541 W BRADDOCK RD
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City | ALEXANDRIA
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State | VA
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Zip | 22302-1916
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Country | US
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Telephone | 571-521-0931
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Fax |
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Provider Business Mailing Address
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Address Line | 610 MADISON ST STE 101-605
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City | ALEXANDRIA
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State | VA
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Zip | 22314-1758
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Country | US
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Telephone | 571-521-0931
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINA PRATHER
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Credential | MD
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Telephone | 571-521-0931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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