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General NPI Number Information
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NPI Number | 1851565444
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Entity Type | Organization
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Legal Business Name | PHYSICIAN PRACTICE & RESEARCH LLC
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 02/23/2012
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Provider Practice Location Address
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Address Line | 19415 DEERFIELD AVE SUITE #107
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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 | 703-723-5555
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Fax | 703-562-6996
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Provider Business Mailing Address
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Address Line | 9104 STREAMVIEW LN
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City | VIENNA
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State | VA
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Zip | 22182-1728
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Country | US
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Telephone | 703-723-5555
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Fax | 703-391-5007
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Authorized Official
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Title or Position | OWNER
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Name | OSCAR ADLER
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Credential | MD
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Telephone | 703-723-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | D0063101
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 0101234619
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License Number State | VA
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