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General NPI Number Information
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NPI Number | 1386723583
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Entity Type | Organization
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Legal Business Name | TRAHOS MEDICAL ENTERPRISES PLLC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 205 S WHITING ST STE 303
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City | ALEXANDRIA
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State | VA
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Zip | 22304-3632
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Country | US
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Telephone | 703-998-4913
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Fax | 703-931-8171
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Provider Business Mailing Address
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Address Line | 205 S WHITING ST STE 303
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City | ALEXANDRIA
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State | VA
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Zip | 22304-3632
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Country | US
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Telephone | 703-998-4913
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Fax | 703-931-8171
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LORENA SIGALA
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Credential |
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Telephone | 703-998-4913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102035626
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 0102035626
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 0102035626
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License Number State | VA
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