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NPI 1871476895

NPI 1871476895 : VIRGINIA INTERNAL MEDICINE INC : HERNDON, VA

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General NPI Number Information
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    NPI Number           |    1871476895
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    Entity Type          |    Organization 
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    Legal Business Name  |    VIRGINIA INTERNAL MEDICINE INC 
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Dates
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    Enumeration Date     |    07/28/2025
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    Last Update Date     |    08/21/2025
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Provider Practice Location Address
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    Address Line         |    2978 CENTREVILLE RD 
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    City                 |    HERNDON
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    State                |    VA
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    Zip                  |    20171-6253
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    Country              |    US
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    Telephone            |    703-934-5000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6 E EAGER ST 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21202-2506
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    Country              |    US
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    Telephone            |    410-870-9380
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    Fax                  |    410-431-3550
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |     AMR HOSSAM ELDIN BEHIRI 
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    Credential           |    DO
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    Telephone            |    347-761-7200
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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       |    
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    License Number State |    
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