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General NPI Number Information
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NPI Number | 1437518586
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Entity Type | Organization
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Legal Business Name | PRIMEA HEALTH P. C.
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 2616 SHERWOOD HALL LN #205
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City | ALEXANDRIA
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State | VA
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Zip | 22306-3100
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Country | US
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Telephone | 703-501-4488
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Fax |
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Provider Business Mailing Address
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Address Line | 9420 FERRY LANDING CT
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City | ALEXANDRIA
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State | VA
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Zip | 22309-3147
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Country | US
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Telephone | 814-241-8551
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Fax | 703-780-0956
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANURADHA SOI
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Credential |
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Telephone | 814-241-8551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 0101255410
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101255410
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License Number State | VA
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