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General NPI Number Information
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NPI Number | 1386658243
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Entity Type | Individual
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Provider Name | LORENA SIMONA KHOURI-POPP MD
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Gender | Female
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 2839 DUKE ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4512
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Country | US
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Telephone | 703-231-5143
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Fax |
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Provider Business Mailing Address
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Address Line | 7908 OLD CEDAR CT
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City | MC LEAN
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State | VA
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Zip | 22102-2413
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Country | US
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Telephone | 703-231-5143
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101239763
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License Number State | VA
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