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General NPI Number Information
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NPI Number | 1548273618
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Entity Type | Organization
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Legal Business Name | DIABETES & ENDOCRINE CARE ASSOCIATES,PLLC
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 103 W BROAD ST SUITE 120
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City | FALLS CHURCH
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State | VA
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Zip | 22046-4235
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Country | US
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Telephone | 703-534-6002
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Fax | 703-534-7472
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Provider Business Mailing Address
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Address Line | 103 W BROAD ST SUITE 120
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City | FALLS CHURCH
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State | VA
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Zip | 22046-4235
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Country | US
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Telephone | 703-534-6002
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Fax | 703-534-7472
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SUCHITHRA A NANCHERLA
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Credential | M.D.
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Telephone | 703-534-6002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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