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General NPI Number Information
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NPI Number | 1447311378
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY SPECIALISTS OF VIRGINIA
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 11/24/2020
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Provider Practice Location Address
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Address Line | 6715 LITTLE RIVER TPKE STE 300
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City | ANNANDALE
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State | VA
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Zip | 22003-3546
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Country | US
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Telephone | 703-751-6668
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Fax | 703-642-1049
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Provider Business Mailing Address
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Address Line | 6715 LITTLE RIVER TPKE STE 300
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City | ANNANDALE
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State | VA
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Zip | 22003-3546
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Country | US
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Telephone | 703-751-6668
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Fax | 703-642-1049
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL JOHN O BRIEN
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Credential | MD
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Telephone | 703-823-6904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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