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General NPI Number Information
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NPI Number | 1760588628
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Entity Type | Organization
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Legal Business Name | EAR NOSE & THROAT SPECIALISTS OF NORTHERN VA
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 6564 LOISDALE CT STE 205
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City | SPRINGFIELD
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State | VA
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Zip | 22150-1812
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Country | US
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Telephone | 703-644-7800
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Fax | 703-644-1508
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Provider Business Mailing Address
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Address Line | 6564 LOISDALE CT STE 205
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City | SPRINGFIELD
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State | VA
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Zip | 22150-1812
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Country | US
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Telephone | 703-644-7800
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Fax | 703-644-1508
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEF GURIAN
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Credential | MD
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Telephone | 703-644-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 0101016929
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License Number State | VA
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