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General NPI Number Information
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NPI Number | 1831278738
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Entity Type | Organization
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Legal Business Name | LANSDOWNE TRAVEL AND FAMILY MEDICINE LLC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 01/10/2014
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Provider Practice Location Address
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Address Line | 19415 DEERFIELD AVE SUITE 103
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City | LANSDOWNE
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State | VA
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Zip | 20176-8452
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Country | US
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Telephone | 571-223-3833
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Fax | 877-260-8179
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Provider Business Mailing Address
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Address Line | 19415 DEERFIELD AVE SUITE 103
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City | LANSDOWNE
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State | VA
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Zip | 20176-8452
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Country | US
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Telephone | 571-223-3833
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Fax | 877-260-8179
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAJIV KUMAR AGGARWAL
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Credential | M.D.
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Telephone | 571-223-3833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101232243
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License Number State | VA
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