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General NPI Number Information
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NPI Number | 1598328411
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Entity Type | Organization
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Legal Business Name | NISHTAR ON POTOMAC MEDICAL & REHABILITATION CENTERS LLC
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 7115 LEESBURG PIKE STE 315
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City | FALLS CHURCH
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State | VA
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Zip | 22043-2301
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Country | US
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Telephone | 703-522-8840
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Fax | 703-496-7238
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Provider Business Mailing Address
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Address Line | 2734 MANORHAVEN CT
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City | ALEXANDRIA
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State | VA
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Zip | 22306-3158
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Country | US
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Telephone | 703-780-3593
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. ZAFAR ALI KHAN
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Credential | DRNP, M.S, M.B.B.S
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Telephone | 703-780-3593
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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