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General NPI Number Information
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NPI Number | 1639277437
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Entity Type | Organization
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Legal Business Name | NORTHERN VIRGINIA IMAGING, LLC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 44055 RIVERSIDE PKWY SUITE #108-B
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City | LEESBURG
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State | VA
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Zip | 20176-5179
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Country | US
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Telephone | 703-858-3040
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Fax | 703-858-9050
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Provider Business Mailing Address
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Address Line | 7801 OLD BRANCH AVE SUITE 300
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City | CLINTON
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State | MD
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Zip | 20735-1608
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Country | US
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Telephone | 301-856-6718
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Fax | 301-856-6722
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Authorized Official
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Title or Position | DIRECTOR/RADIOLOGIST
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Name | JOSEPH P. FINIZIO
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Credential | M.D.
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Telephone | 301-856-6718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | VA
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