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General NPI Number Information
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NPI Number | 1952533275
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Entity Type | Organization
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Legal Business Name | CN INTERNAL MEDICINE MD PC
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 09/02/2010
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Provider Practice Location Address
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Address Line | 4660 KENMORE AVE #600
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City | ALEXANDRIA
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State | VA
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Zip | 22304-1300
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Country | US
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Telephone | 703-212-9190
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Fax |
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Provider Business Mailing Address
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Address Line | 4660 KENMORE AVE #600
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City | ALEXANDRIA
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State | VA
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Zip | 22304-1300
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Country | US
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Telephone | 703-212-9190
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SABAHAT NAWAB
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Credential | M.D.
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Telephone | 703-212-9190
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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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