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General NPI Number Information
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NPI Number | 1962593335
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Entity Type | Organization
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Legal Business Name | ROGAN & O'BRIEN CARDIOVASCULAR ASSOCIATES, P.C.
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 3299 WOODBURN RD SUITE 200
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City | ANNANDALE
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State | VA
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Zip | 22003-1275
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Country | US
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Telephone | 703-698-6255
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Fax | 703-207-8561
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Provider Business Mailing Address
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Address Line | 3299 WOODBURN RD SUITE 200
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City | ANNANDALE
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State | VA
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Zip | 22003-1275
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Country | US
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Telephone | 703-698-6255
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Fax | 703-207-8561
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. DENISE P POLING
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Credential |
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Telephone | 703-698-6255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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