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NPI Code Detail

MEDICARE: DR. CONNIE SHIEH RIENGNIMIT

MEDICARE:  DR. CONNIE SHIEH RIENGNIMIT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202210241VA
2183500000XPharmacistPH100001029DC

General Provider Information

NPI Number : 1306123393
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CONNIE SHIEH RIENGNIMIT
Provider Business Mailing Address
First Line : 5515 LEESBURG PIKE
Second Line : T-1893
City : FALLS CHURCH
State : VA
Zip : 22041-3109
Country : US
Telephone Number : 703-253-0022
Fax Number : 703-253-0022
Provider Business Practice Location Address
First Line : 5515 LEESBURG PIKE
Second Line : T-1893
City : FALLS CHURCH
State : VA
Zip : 22041-3109
Country : US
Telephone Number : 703-253-0022
Fax Number : 703-253-0022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2011
Last Update Date : 11/04/2011

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Directions to “ DR. CONNIE SHIEH RIENGNIMIT ” Practice Location

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