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General NPI Number Information
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NPI Number | 1629167077
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Entity Type | Organization
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Legal Business Name | HEART SPECIALISTS OF NORTHERN VIRGINIA, P.C.
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5514 ALMA LN SUITE 200
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City | SPRINGFIELD
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State | VA
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Zip | 22151-4000
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Country | US
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Telephone | 703-813-1242
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Fax | 703-916-0592
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Provider Business Mailing Address
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Address Line | 5514 ALMA LN SUITE 200
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City | SPRINGFIELD
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State | VA
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Zip | 22151-4000
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Country | US
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Telephone | 703-813-1242
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Fax | 703-916-0592
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Authorized Official
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Title or Position | PARTNER
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Name | MRINAL SHARMA
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Credential | M.D.
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Telephone | 703-813-1242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State | VA
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