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General NPI Number Information
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NPI Number | 1790838118
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Entity Type | Individual
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Provider Name | SUMMER ABDEL-MEGEED MD
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 1900 OPITZ BLVD STE F
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3320
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Country | US
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Telephone | 703-490-3997
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Fax | 703-491-3376
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Provider Business Mailing Address
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Address Line | 2280 OPITZ BLVD STE 250
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3362
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Country | US
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Telephone | 703-523-1720
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Fax | 855-210-2389
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101248717
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD20060796
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License Number State | NM
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