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General NPI Number Information
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NPI Number | 1982842753
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Entity Type | Organization
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Legal Business Name | HIBP MEDICAL SERVICES INC.
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Dates
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Enumeration Date | 02/01/2009
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 6911 RICHMOND HWY SUITE # 425
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City | ALEXANDRIA
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State | VA
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Zip | 22306-1842
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Country | US
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Telephone | 703-417-9678
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Fax | 703-310-4039
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Provider Business Mailing Address
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Address Line | 6911 RICHMOND HWY SUITE # 425
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City | ALEXANDRIA
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State | VA
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Zip | 22306-1842
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Country | US
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Telephone | 703-417-9678
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Fax | 703-310-4039
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Authorized Official
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Title or Position | DIRECTOR
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Name | GERMAN VALBUENA
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Credential |
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Telephone | 703-533-5560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 0841498
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License Number State | VA
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