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General NPI Number Information
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NPI Number | 1619763075
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Entity Type | Organization
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Legal Business Name | NORTHERN VIRGINIA HAND AND NERVE
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 8316 ARLINGTON BLVD STE 510
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City | FAIRFAX
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State | VA
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Zip | 22031-5216
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Country | US
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Telephone | 703-972-6655
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Fax | 703-738-6454
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Provider Business Mailing Address
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Address Line | 8316 ARLINGTON BLVD STE 510
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City | FAIRFAX
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State | VA
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Zip | 22031-5216
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Country | US
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Telephone | 703-972-6655
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE ASSISTANT
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Name | MS. HAILEY HAYCOX
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Credential |
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Telephone | 703-972-6655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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