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General NPI Number Information
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NPI Number | 1982924031
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Entity Type | Organization
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Legal Business Name | ADLER GYNECOLOGY AND MINIMALLY INVASIVE SURGERY INC
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | 17739 MAIN ST SUITE 110
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City | DUMFRIES
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State | VA
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Zip | 22026-3251
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Country | US
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Telephone | 703-649-2787
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Fax | 703-221-6569
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Provider Business Mailing Address
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Address Line | 17739 MAIN STREET SUITE 110
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City | DUMFRIES
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State | VA
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Zip | 22026-3256
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Country | US
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Telephone | 703-649-2787
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Fax | 703-221-6569
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALF K ADLER
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Credential | MD
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Telephone | 703-649-2787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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