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General NPI Number Information
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NPI Number | 1699857128
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Entity Type | Organization
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Legal Business Name | VIRGINIA FAMILY MEDICINE, PLLC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9401 LEE HWY SUITE 400
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City | FAIRFAX
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State | VA
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Zip | 22031-1849
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Country | US
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Telephone | 703-383-4836
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Fax | 703-383-4911
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Provider Business Mailing Address
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Address Line | 9401 LEE HIGHWAY SUITE 400
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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 | 703-383-4836
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Fax | 703-383-4911
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Authorized Official
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Title or Position | OWNER PRINCIPAL
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Name | DR. KAVIAN S. MILANI
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Credential | M.D.
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Telephone | 703-560-6268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101057147
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License Number State | VA
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