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General NPI Number Information
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NPI Number | 1518559335
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Entity Type | Organization
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Legal Business Name | MIRZAKARIMOVA PLLC
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 1001 CONNECTICUT AVE NW STE 428
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City | WASHINGTON
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State | DC
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Zip | 20036-5555
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Country | US
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Telephone | 202-709-8663
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Fax | 855-955-1272
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Provider Business Mailing Address
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Address Line | 1001 CONNECTICUT AVE NW STE 428
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City | WASHINGTON
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State | DC
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Zip | 20036-5555
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Country | US
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Telephone | 703-344-5125
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Fax | 855-955-1272
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Authorized Official
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Title or Position | DOCTOR OF ORIENTAL MEDICINE, LAC
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Name | DR. DINARA MIRZAKARIMOVA
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Credential | LAC
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Telephone | 703-344-5125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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