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General NPI Number Information
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NPI Number | 1720749583
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Entity Type | Organization
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Legal Business Name | DMV SPINE AND PAIN, PLLC
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Dates
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Enumeration Date | 01/04/2022
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 46090 LAKE CENTER PLZ STE 102
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City | STERLING
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State | VA
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Zip | 20165-5877
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Country | US
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Telephone | 703-435-6604
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Fax |
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Provider Business Mailing Address
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Address Line | 46090 LAKE CENTER PLZ STE 102
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City | STERLING
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State | VA
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Zip | 20165-5877
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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 | OWNER
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Name | GAURAV BHATIA
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Credential |
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Telephone | 703-719-8583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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