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General NPI Number Information
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NPI Number | 1508953167
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Entity Type | Organization
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Legal Business Name | ANNANDALE FAMILY MEDICINE, P.C.
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7617 LITTLE RIVER TPKE SUITE 710
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City | ANNANDALE
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State | VA
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Zip | 22003-2603
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Country | US
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Telephone | 703-941-0267
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Fax | 703-941-2018
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Provider Business Mailing Address
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Address Line | 7617 LITTLE RIVER TPKE SUITE 710
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City | ANNANDALE
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State | VA
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Zip | 22003-2603
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Country | US
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Telephone | 703-941-0267
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Fax | 703-941-2018
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. RHONDA L FRIEDLER
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Credential |
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Telephone | 703-941-0267
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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 |
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License Number State |
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