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General NPI Number Information
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NPI Number | 1730281205
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Entity Type | Organization
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Legal Business Name | NITA SUMIDA, M.D. , P.L.L.C.
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Dates
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Enumeration Date | 09/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8320 OLD COURTHOUSE RD SUITE 100
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City | VIENNA
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State | VA
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Zip | 22182-3831
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Country | US
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Telephone | 703-734-1069
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Fax | 703-288-7892
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Provider Business Mailing Address
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Address Line | 6773 LITTLE FALLS RD
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City | ARLINGTON
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State | VA
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Zip | 22213-1223
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Country | US
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Telephone | 703-734-1069
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Fax | 703-288-7892
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Authorized Official
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Title or Position | OWNER
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Name | DR. NITA SUMIDA
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Credential | M.D.
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Telephone | 703-734-1069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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