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General NPI Number Information
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NPI Number | 1487690129
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Entity Type | Individual
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Provider Name | ALI KAMRAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 12/07/2012
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Provider Practice Location Address
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Address Line | 8302 OLD COURTHOUSE RD STE C
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City | VIENNA
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State | VA
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Zip | 22182-3873
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Country | US
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Telephone | 703-462-8138
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Fax | 703-462-8139
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Provider Business Mailing Address
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Address Line | 8607 MONACAN COURT
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City | LORTON
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State | VA
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Zip | 22079
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Country | US
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Telephone | 202-812-2277
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD31202
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License Number State | DC
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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 | 0101057259
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License Number State | VA
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