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General NPI Number Information
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NPI Number | 1932104023
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Entity Type | Individual
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Provider Name | HASSAN K HONAINY MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 03/20/2021
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Provider Practice Location Address
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Address Line | 200 ARH LANE, STE 400 JACKSON RIVER NEPHROLOGY
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City | LOW MOOR
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State | VA
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Zip | 24457
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Country | US
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Telephone | 540-862-7064
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Fax | 540-862-5727
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Provider Business Mailing Address
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Address Line | 6020 RICHMOND HWY STE 102
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City | ALEXANDRIA
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State | VA
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Zip | 22303-2157
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Country | US
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Telephone | 443-393-3653
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 18529
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License Number State | WV
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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 | 0101052321
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License Number State | VA
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