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General NPI Number Information
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NPI Number | 1528211240
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Entity Type | Organization
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Legal Business Name | JOHN D. DOPPELHEUER M.D. PC
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Dates
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Enumeration Date | 10/25/2008
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Last Update Date | 10/25/2008
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Provider Practice Location Address
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Address Line | 3299 WOODBURN RD SUITE 370
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City | ANNANDALE
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State | VA
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Zip | 22003-1275
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Country | US
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Telephone | 703-698-1197
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Fax | 703-698-9715
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Provider Business Mailing Address
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Address Line | 3299 WOODBURN RD SUITE 370
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City | ANNANDALE
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State | VA
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Zip | 22003-1275
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Country | US
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Telephone | 703-698-1197
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Fax | 703-698-9715
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN DAVID DOPPELHEUER
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Credential | M.D.
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Telephone | 703-698-1197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101032817
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License Number State | VA
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