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General NPI Number Information
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NPI Number | 1881740504
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Entity Type | Organization
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Legal Business Name | ARLINGTON INTERNAL MEDICINE, P.C.
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 1625 N GEORGE MASON DR SUITE 434
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City | ARLINGTON
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State | VA
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Zip | 22205-3683
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Country | US
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Telephone | 703-522-1860
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Fax | 703-522-7293
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Provider Business Mailing Address
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Address Line | 1624 N. GEORGE MASON DR SUITE 434
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City | ARLINGTON
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State | VA
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Zip | 22205
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Country | US
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Telephone | 703-522-1860
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Fax | 703-522-7293
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CARY BLAKE
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Credential |
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Telephone | 703-522-1860
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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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