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General NPI Number Information
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NPI Number | 1518162312
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Entity Type | Organization
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Legal Business Name | JOSEPH J PALOMBI MD PC
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8424 DORSEY CIR SUITE 102
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City | MANASSAS
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State | VA
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Zip | 20110-8301
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Country | US
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Telephone | 703-368-1715
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Fax |
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Provider Business Mailing Address
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Address Line | 1299 WOODSIDE DR
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City | MCLEAN
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State | VA
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Zip | 22102-1528
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Country | US
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Telephone | 703-368-1715
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH J PALOMBI
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Credential | M.D.
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Telephone | 703-368-1715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101033696
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License Number State | VA
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