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General NPI Number Information
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NPI Number | 1730112822
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Entity Type | Organization
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Legal Business Name | ACCESS MEDICINE AND NEPHROLOGY ASSOCIATES LLC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 09/07/2025
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Provider Practice Location Address
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Address Line | 7002 LITTLE RIVER TPKE STE B
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City | ANNANDALE
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State | VA
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Zip | 22003-3200
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Country | US
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Telephone | 703-973-5790
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Fax |
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Provider Business Mailing Address
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Address Line | 187 JEB DR
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City | WINCHESTER
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State | VA
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Zip | 22602-6648
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Country | US
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Telephone | 703-973-5790
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SYED N ISHAQ
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Credential | MD
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Telephone | 703-204-1990
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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 | 0101058320
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License Number State | VA
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