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NPI 1689671414

NPI 1689671414 : ADIL ZAHOOR GHAURI M.D. : FAIRFAX, VA

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General NPI Number Information
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    NPI Number           |    1689671414
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    Entity Type          |    Individual 
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    Provider Name        |    ADIL ZAHOOR GHAURI M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/07/2005
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    Last Update Date     |    08/23/2013
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Provider Practice Location Address
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    Address Line         |    3620 JOSEPH SIEWICK DR 306
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    City                 |    FAIRFAX
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    State                |    VA
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    Zip                  |    22033-1756
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    Country              |    US
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    Telephone            |    703-264-0521
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    Fax                  |    703-860-0229
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1019 
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    City                 |    STUART
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    State                |    VA
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    Zip                  |    24171-1019
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    Country              |    US
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    Telephone            |    276-694-4466
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    Fax                  |    276-694-2909
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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       |    0101 237621
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    0101237621
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    License Number State |    VA
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