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General NPI Number Information
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NPI Number | 1801993852
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Entity Type | Individual
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Provider Name | PAYMAUN M LOTFI MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 14605 POTOMAC BRANCH DR SUITE 300
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City | WOODBRIDGE
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State | VA
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Zip | 22191-4070
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Country | US
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Telephone | 703-490-1112
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Fax | 703-878-8732
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Provider Business Mailing Address
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Address Line | PO BOX 5237
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City | WOODBRIDGE
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State | VA
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Zip | 22194-5237
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Country | US
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Telephone | 703-490-1112
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Fax | 703-878-8732
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 0101840469
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License Number State | VA
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