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General NPI Number Information
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NPI Number | 1821495656
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Entity Type | Organization
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Legal Business Name | ARTHRITIS AND RHEUMATOLOGY CLINICAL CENTER OF NORTHERN VIRGINIA, PLLC
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 8130 BOONE BLVD STE 340
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City | VIENNA
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State | VA
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Zip | 22182-2640
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Country | US
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Telephone | 703-734-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 8130 BOONE BLVD STE 340
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City | VIENNA
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State | VA
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Zip | 22182-2640
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Country | US
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Telephone | 571-418-2022
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MAHSA TEHRANI
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Credential | M.D.
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Telephone | 202-492-1044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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