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General NPI Number Information
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NPI Number | 1578918611
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Entity Type | Individual
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Provider Name | CHRISTOPHER LOTFABADI PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/26/2016
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 8525 ROLLING RD SUITE 200
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City | MANASSAS
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State | VA
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Zip | 20110-3647
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Country | US
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Telephone | 703-257-2266
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Fax | 703-257-2269
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Provider Business Mailing Address
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Address Line | 6852 CHASEWOOD CIR
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City | CENTREVILLE
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State | VA
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Zip | 20121-5029
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Country | US
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Telephone | 703-257-2266
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Fax | 703-257-2269
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0110005273
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License Number State | VA
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