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General NPI Number Information
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NPI Number | 1518261452
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Entity Type | Organization
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Legal Business Name | SAFA MEDICAL CARE LLC
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Dates
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Enumeration Date | 01/07/2011
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 4320 SEMINARY RD
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City | ALEXANDRIA
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State | VA
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Zip | 22304-1535
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Country | US
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Telephone | 202-812-2277
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Fax |
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Provider Business Mailing Address
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Address Line | 8607 MONACAN CT
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City | LORTON
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State | VA
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Zip | 22079-3093
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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 | SOLE PROPRIETOR
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Name | DR. ALI KAMRAN
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Credential | MD
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Telephone | 202-812-2277
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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 | 0101057259
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License Number State | VA
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