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General NPI Number Information
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NPI Number | 1447663901
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Entity Type | Organization
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Legal Business Name | STEINMETZ CENTER
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 1225 MARTHA CUSTIS DR SUITE C-1
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City | ALEXANDRIA
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State | VA
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Zip | 22302-2000
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Country | US
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Telephone | 703-671-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 MARTHA CUSTIS DR SUITE C-1
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City | ALEXANDRIA
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State | VA
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Zip | 22302-2000
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | KATIE KANE SMITH
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Credential |
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Telephone | 703-671-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1127672014
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License Number State | VA
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