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General NPI Number Information
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NPI Number | 1528091683
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Entity Type | Individual
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Provider Name | KIREN MACON DAYAL D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 06/07/2012
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Provider Practice Location Address
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Address Line | 8191 STRAWBERRY LN SUITE 6
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City | FALLS CHURCH
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State | VA
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Zip | 22042-1031
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Country | US
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Telephone | 703-493-0404
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Fax |
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Provider Business Mailing Address
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Address Line | 8191 STRAWBERRY LN SUITE 6
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City | FALLS CHURCH
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State | VA
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Zip | 22042-1031
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Country | US
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Telephone | 703-493-0404
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OS9302
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 058664
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102202742
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H0071658
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License Number State | MD
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