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General NPI Number Information
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NPI Number | 1851073860
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Entity Type | Organization
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Legal Business Name | ANDERSON-KHIMANI CENTER FOR EARLY INTERVENTION AND AUTISM SERVICES
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 14497 POTOMAC MILLS RD # 1064
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City | WOODBRIDGE
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State | VA
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Zip | 22192-6807
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Country | US
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Telephone | 804-728-8827
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Fax |
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Provider Business Mailing Address
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Address Line | 14497 POTOMAC MILLS RD # 1064
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City | WOODBRIDGE
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State | VA
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Zip | 22192-6807
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING EMPLOYEE
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Name | LIZNA KHIMANI
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Credential |
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Telephone | 804-728-8827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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