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General NPI Number Information
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NPI Number | 1891971503
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Entity Type | Organization
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Legal Business Name | DR. MICHAEL G. FINE, PC
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 1307 N HIGHLAND ST
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City | ARLINGTON
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State | VA
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Zip | 22201-5017
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Country | US
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Telephone | 703-528-7177
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Fax | 703-522-2963
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Provider Business Mailing Address
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Address Line | 1307 N HIGHLAND ST
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City | ARLINGTON
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State | VA
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Zip | 22201-5017
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Country | US
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Telephone | 703-528-7177
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Fax | 703-522-2963
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MICHAEL G FINE
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Credential | DPM
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Telephone | 703-528-7177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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