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General NPI Number Information
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NPI Number | 1700221694
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Entity Type | Individual
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Provider Name | ANISSA RAHMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 05/27/2019
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Provider Practice Location Address
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Address Line | 4900 31ST ST S STE A
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City | ARLINGTON
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State | VA
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Zip | 22206-1663
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Country | US
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Telephone | 703-341-9849
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 GLENLAWN PL
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City | HERNDON
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State | VA
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Zip | 20171-2976
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Country | US
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Telephone | 703-341-9849
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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 | 0101266874
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 0101266874
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 0101266874
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License Number State | VA
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