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NPI 1417082231

NPI 1417082231 : MARK A BARTOLOZZI MD & JOSEPH J.MAGALSKI, JR. M.D.P.C : WOODBRIDGE, VA

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General NPI Number Information
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    NPI Number           |    1417082231
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARK A BARTOLOZZI MD & JOSEPH J.MAGALSKI, JR. M.D.P.C 
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Dates
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    Enumeration Date     |    02/22/2007
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    Last Update Date     |    08/21/2009
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Provider Practice Location Address
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    Address Line         |    2280 OPITZ BLVD STE 310 
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    City                 |    WOODBRIDGE
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    State                |    VA
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    Zip                  |    22191-3362
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    Country              |    US
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    Telephone            |    703-730-4848
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    Fax                  |    703-730-7236
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Provider Business Mailing Address
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    Address Line         |    9001 DIGGES RD STE 204 
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    City                 |    MANASSAS
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    State                |    VA
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    Zip                  |    20110-4414
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    Country              |    US
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    Telephone            |    703-257-9234
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    Fax                  |    703-257-1560
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Authorized Official
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    Title or Position    |    MEDICAL BILLER
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    Name                 |    MISS MICHELLE M SANBORN 
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    Credential           |    
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    Telephone            |    703-730-4848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    0101221455
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    0101236256
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    License Number State |    VA
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Taxonomy #3
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    0101048180
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    License Number State |    VA
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