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General NPI Number Information
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NPI Number | 1720287337
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Entity Type | Individual
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Provider Name | ADHUNA C. MATHURIA MD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 24600 MILLSTREAM DR STE 430
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City | ALDIE
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State | VA
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Zip | 20105-3512
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Country | US
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Telephone | 703-327-3300
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Fax | 703-542-6785
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Provider Business Mailing Address
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Address Line | 24600 MILLSTREAM DR STE 430
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City | ALDIE
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State | VA
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Zip | 20105-3512
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Country | US
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Telephone |
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 0101246174
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License Number State | VA
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