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General NPI Number Information
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NPI Number | 1952426942
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICINE & ASSOCIATES OF ALEXANDRIA PC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5249 DUKE ST #100
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City | ALEXANDRIA
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State | VA
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Zip | 22304-2926
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Country | US
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Telephone | 703-370-2814
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Fax | 703-370-7214
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Provider Business Mailing Address
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Address Line | 5249 DUKE ST #100
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City | ALEXANDRIA
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State | VA
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Zip | 22304-2926
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Country | US
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Telephone | 703-370-2814
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Fax | 703-370-7214
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIRELA L MIRCEA
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Credential | MD
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Telephone | 703-370-2814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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