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General NPI Number Information
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NPI Number | 1508386483
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Entity Type | Organization
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Legal Business Name | JAMES E LONG, MD, PC
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 06/22/2017
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Provider Practice Location Address
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Address Line | 8316 ARLINGTON BLVD STE 650
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City | FAIRFAX
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State | VA
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Zip | 22031-5216
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Country | US
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Telephone | 17038882565
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Fax |
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Provider Business Mailing Address
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Address Line | 8316 ARLINGTON BLVD STE 650
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City | FAIRFAX
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State | VA
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Zip | 22031-5216
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Country | US
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Telephone | 17038882565
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES LONG
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Credential | MD
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Telephone | 703-888-2565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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