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General NPI Number Information
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NPI Number | 1760789846
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Entity Type | Organization
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Legal Business Name | GULAM-MOHMED M KOLIA MD PC
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Dates
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Enumeration Date | 02/25/2011
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Last Update Date | 03/29/2011
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Provider Practice Location Address
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Address Line | 6408 SEVEN CORNERS PLACE SUITE-D
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2011
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Country | US
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Telephone | 703-532-3298
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Fax | 703-532-3299
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Provider Business Mailing Address
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Address Line | 6408 SEVEN CORNERS PLACE SUITE-D
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2011
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Country | US
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Telephone | 703-532-3298
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Fax | 703-532-3299
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GULAM-MOHMED M KOLIA
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Credential | M.D.,F.A.C.C.
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Telephone | 703-532-3298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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