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General NPI Number Information
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NPI Number | 1619986940
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Entity Type | Individual
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Provider Name | ATUL P KAPADIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 1966 OPITZ BLVD
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3304
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Country | US
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Telephone | 703-897-8389
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Fax | 571-398-6358
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Provider Business Mailing Address
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Address Line | 4900 N CENTAURS CT
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City | ANNANDALE
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State | VA
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Zip | 22003-4203
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Country | US
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Telephone | 703-897-8389
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Fax | 703-897-5669
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101057778
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License Number State | VA
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