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General NPI Number Information
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NPI Number | 1720170525
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Entity Type | Individual
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Provider Name | DAHLIA CHARLES M.D.,
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 19535 NEWBERRY TER UNIT 202
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City | LEESBURG
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State | VA
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Zip | 20176-1201
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Country | US
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Telephone | 571-331-2881
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Fax |
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Provider Business Mailing Address
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Address Line | 19535 NEWBERRY TER UNIT 202
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City | LEESBURG
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State | VA
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Zip | 20176-1201
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Country | US
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Telephone | 571-331-2881
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 219758
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License Number State | NY
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