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General NPI Number Information
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NPI Number | 1851615074
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Entity Type | Organization
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Legal Business Name | DIMENSIONS DIRECT PRIMARY CARE , PLLC
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Dates
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Enumeration Date | 03/17/2010
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Last Update Date | 03/09/2020
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Provider Practice Location Address
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Address Line | 8503 ARLINGTON BOULEVARD SUITE 120
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City | FAIRFAX
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State | VA
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Zip | 22031
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Country | US
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Telephone | 571-229-9183
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Fax | 571-229-9192
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Provider Business Mailing Address
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Address Line | 8503 ARLINGTON BOULEVARD SUITE 120
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City | FAIRFAX
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State | VA
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Zip | 22031
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Country | US
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Telephone | 571-229-9183
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Fax | 571-229-9192
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Authorized Official
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Title or Position | PHYSICIAN/FOUNDER
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Name | SHEILA MEHRA CHEN
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Credential | M. D.
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Telephone | 571-229-9183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101242263
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License Number State | VA
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