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General NPI Number Information
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NPI Number | 1710918438
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Entity Type | Organization
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Legal Business Name | NORTHERN VIRGINIA SURGICAL GROUP, PC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 8316 ARLINGTON BLVD. SUITE 630
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City | FAIRFAX
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State | VA
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Zip | 22031-5216
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Country | US
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Telephone | 703-560-7788
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Fax | 703-573-5629
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Provider Business Mailing Address
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Address Line | 8316 ARLINGTON BLVD. SUITE 630
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City | FAIRFAX
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State | VA
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Zip | 22031-5216
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Country | US
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Telephone | 703-560-7788
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Fax | 703-573-5629
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | WILLIAM SEID
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Credential | M.D.
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Telephone | 703-560-7788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State | VA
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