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General NPI Number Information
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NPI Number | 1720742331
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Entity Type | Organization
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Legal Business Name | ANNAPATH OF VIRGINIA INC.
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Dates
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Enumeration Date | 10/29/2021
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Last Update Date | 10/29/2021
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Provider Practice Location Address
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Address Line | 3299 WOODBURN RD SUITE 250
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City | ANNANDALE
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State | VA
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Zip | 22003-7326
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Country | US
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Telephone | 703-260-6363
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Fax |
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Provider Business Mailing Address
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Address Line | 3299 WOODBURN RD SUITE 250
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City | ANNANDALE
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State | VA
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Zip | 22003-7326
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Country | US
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Telephone | 703-260-6363
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CRAIG ZWOBOT
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Credential |
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Telephone | 301-464-0603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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