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General NPI Number Information
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NPI Number | 1376609933
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Entity Type | Organization
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Legal Business Name | PFUNDSTEIN HOSPITALIST AND CONSULTATIVE SERVICES, P.C.
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 3300 GALLOWS RD
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3307
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Country | US
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Telephone | 703-702-0753
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Fax | 703-668-0679
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Provider Business Mailing Address
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Address Line | 11620 SPRINGHOUSE PL
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City | RESTON
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State | VA
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Zip | 20194-1163
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Country | US
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Telephone | 703-615-2990
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Fax | 703-668-0679
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOANN PFUNDSTEIN
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Credential | M.D.
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Telephone | 703-615-2990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 0101-052483
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101-052483
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License Number State | VA
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