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General NPI Number Information
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NPI Number | 1558651364
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Entity Type | Organization
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Legal Business Name | A2 MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 527 MAPLE AVE E SUITE 300
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City | VIENNA
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State | VA
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Zip | 22180-4746
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Country | US
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Telephone | 703-938-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 527 MAPLE AVE E SUITE 300
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City | VIENNA
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State | VA
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Zip | 22180-4746
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Country | US
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Telephone | 703-938-3900
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | BRIAN AUGUST
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Credential |
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Telephone | 703-938-3900
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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 |
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License Number State |
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