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General NPI Number Information
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NPI Number | 1710927082
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Entity Type | Organization
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Legal Business Name | MICHELE TRIPPEL MD INC
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 06/07/2012
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Provider Practice Location Address
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Address Line | 19420 GOLF VISTA PLAZA UNIT 130
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City | LANSDOWNE
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State | VA
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Zip | 20176
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Country | US
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Telephone | 703-723-8668
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Fax | 703-723-1966
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Provider Business Mailing Address
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Address Line | 19420 GOLF VISTA PLZ UNIT 130
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City | LANSDOWNE
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State | VA
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Zip | 20176-8265
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Country | US
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Telephone | 703-723-8668
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Fax | 703-723-1966
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | MICHELE D TRIPPEL
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Credential | MD
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Telephone | 703-723-8668
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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 |
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License Number State |
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