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General NPI Number Information
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NPI Number | 1831185354
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Entity Type | Individual
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Provider Name | JOEL W MATCH MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 6288B ARLINGTON BLVD
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2801
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Country | US
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Telephone | 703-229-0660
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Fax | 703-237-0675
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Provider Business Mailing Address
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Address Line | 6288B ARLINGTON BLVD
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2801
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Country | US
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Telephone | 703-229-0660
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Fax | 703-237-0675
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101040957
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD12475
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101040957
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License Number State | VA
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