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General NPI Number Information
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NPI Number | 1659557353
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Entity Type | Organization
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Legal Business Name | RAIQA MUNIS MD PC
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 09/19/2008
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Provider Practice Location Address
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Address Line | 10803 MAIN ST SUITE 800
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City | FAIRFAX
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State | VA
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Zip | 22030-4728
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Country | US
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Telephone | 703-277-3346
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Fax | 703-277-3371
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Provider Business Mailing Address
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Address Line | 9023 ADVANTAGE CT
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City | BURKE
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State | VA
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Zip | 22015-4902
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Country | US
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Telephone | 703-277-3346
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Fax | 703-277-3371
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Authorized Official
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Title or Position | MD
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Name | DR. RAIQA MUNIS
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Credential | MD
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Telephone | 703-277-3346
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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 | 0101056011
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License Number State | VA
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