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General NPI Number Information
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NPI Number | 1942422431
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Entity Type | Organization
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Legal Business Name | SHEILA JAHAN MD PC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/14/2007
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Provider Practice Location Address
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Address Line | 5238 DAWES AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22311
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Country | US
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Telephone | 703-820-0188
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Fax | 703-820-3793
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Provider Business Mailing Address
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Address Line | PO BOX 7410
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City | MERRIFIELD
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State | VA
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Zip | 22116
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Country | US
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Telephone | 703-820-0188
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Fax | 703-820-3793
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. SHEILA T JAHAN
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Credential | MD
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Telephone | 703-820-0188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 0101051081
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License Number State | VA
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