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General NPI Number Information
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NPI Number | 1952512931
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Entity Type | Organization
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Legal Business Name | NORTHERN VIRGINIA PRIMARY CARE ASSOCIATES
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 7617 LITTLE RIVER TPKE SUITE 600
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City | ANNANDALE
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State | VA
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Zip | 22003-2603
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Country | US
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Telephone | 703-256-5785
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Fax | 703-658-1684
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Provider Business Mailing Address
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Address Line | 7617 LITTLE RIVER TPKE SUITE 600
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City | ANNANDALE
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State | VA
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Zip | 22003-2603
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Country | US
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Telephone | 703-256-5785
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Fax | 703-658-1684
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | VANESSA JOHNSON
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Credential |
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Telephone | 703-256-5680
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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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