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General NPI Number Information
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NPI Number | 1699833400
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Entity Type | Individual
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Provider Name | SHALINI GOYAL KANERIYA MD
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 09/21/2018
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Provider Practice Location Address
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Address Line | 2579 JOHN MILTON DR STE 300
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City | HERNDON
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State | VA
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Zip | 20171-2500
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Country | US
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Telephone | 703-828-0799
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Fax | 571-525-2963
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Provider Business Mailing Address
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Address Line | 11444 AIDAN RUN CT
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City | GREAT FALLS
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State | VA
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Zip | 22066-1391
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Country | US
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Telephone | 703-757-0615
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Fax |
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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 | 0101238937
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License Number State | VA
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