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General NPI Number Information
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NPI Number | 1508065335
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Entity Type | Organization
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Legal Business Name | NORTHERN VIRGINIA FOOT & ANKLE ASSOCIATES LLC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 8320 OLD COURTHOUSE RD SUITE 304
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City | VIENNA
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State | VA
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Zip | 22182-3853
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Country | US
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Telephone | 703-734-1311
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Fax | 703-734-9090
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Provider Business Mailing Address
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Address Line | 8320 OLD COURTHOUSE RD SUITE 304
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City | VIENNA
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State | VA
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Zip | 22182-3853
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Country | US
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Telephone | 703-734-1311
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Fax | 703-734-9090
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Authorized Official
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Title or Position | OWNER/DPM
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Name | FRANCIS J SMITH
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Credential | DPM
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Telephone | 703-734-1311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0103300912
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License Number State | VA
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