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General NPI Number Information
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NPI Number | 1679664601
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Entity Type | Organization
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Legal Business Name | ARTHRITIS AND RHEUMATIC DISEASE ASSOCIATES PC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 10/16/2020
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Provider Practice Location Address
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Address Line | 3027 JAVIER RD STE 2
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City | FAIRFAX
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State | VA
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Zip | 22031
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Country | US
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Telephone | 301-942-7600
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Fax | 703-573-7767
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Provider Business Mailing Address
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Address Line | 2730 UNIVERSITY BLVD W STE 310
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City | WHEATON
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State | MD
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Zip | 20902-1990
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Country | US
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Telephone | 301-942-7600
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Fax | 703-573-7767
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Authorized Official
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Title or Position | PRESIDENT
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Name | NEIL I STAHL
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Credential | MD
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Telephone | 703-425-4435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 0101030269
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License Number State | VA
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