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General NPI Number Information
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NPI Number | 1417568999
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTH CENTER OF ARLINGTON
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Dates
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Enumeration Date | 08/10/2020
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Last Update Date | 08/10/2020
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Provider Practice Location Address
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Address Line | 46 S GLEBE RD
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City | ARLINGTON
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State | VA
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Zip | 22204-1655
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Country | US
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Telephone | 703-915-8921
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Fax |
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Provider Business Mailing Address
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Address Line | 46 S GLEBE RD
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City | ARLINGTON
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State | VA
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Zip | 22204-1655
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Country | US
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Telephone | 703-915-8921
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. AJITHA RATNAM
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Credential |
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Telephone | 571-438-8419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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