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General NPI Number Information
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NPI Number | 1427570258
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Entity Type | Organization
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Legal Business Name | MEDPLUS AC INC.
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 07/13/2017
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Provider Practice Location Address
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Address Line | 6020 RICHMOND HWY STE 202
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City | ALEXANDRIA
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State | VA
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Zip | 22303-2157
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Country | US
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Telephone | 703-751-1111
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Fax | 703-751-1199
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Provider Business Mailing Address
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Address Line | 5130 DUKE ST STE 2
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City | ALEXANDRIA
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State | VA
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Zip | 22304-2955
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Country | US
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Telephone | 703-751-1111
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Fax | 703-751-1199
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Authorized Official
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Title or Position | PIC/OWNER
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Name | YOUSSEF SAKR
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Credential | PHARMD
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Telephone | 703-751-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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