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General NPI Number Information
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NPI Number | 1720098759
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Entity Type | Organization
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Legal Business Name | MCLEAN CARDIOLOGY, P.C.
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 8230 BOONE BLVD STE 203
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City | VIENNA
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State | VA
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Zip | 22182-2647
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Country | US
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Telephone | 703-827-8688
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Fax | 703-827-8344
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Provider Business Mailing Address
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Address Line | PO BOX 20955
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City | BELFAST
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State | ME
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Zip | 04915-4106
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Country | US
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Telephone | 703-827-8688
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Fax | 703-827-8344
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Authorized Official
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Title or Position | OWNER
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Name | DR. AFSANE HADDAD
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Credential | M.D.
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Telephone | 703-827-8688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101052422
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License Number State | VA
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