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General NPI Number Information
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NPI Number | 1972120483
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Entity Type | Organization
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Legal Business Name | GLOBAL HEALTH SERVICES
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Dates
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Enumeration Date | 06/30/2020
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 6395 LITTLE RIVER TPKE
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City | ALEXANDRIA
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State | VA
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Zip | 22312-5003
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Country | US
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Telephone | 703-563-2125
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Fax | 703-890-0746
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Provider Business Mailing Address
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Address Line | 3213 DUKE ST # 225
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4533
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Country | US
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Telephone | 703-563-2125
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | LISHAN KASSA
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Credential |
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Telephone | 571-422-1663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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