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NPI Code Detail

MEDICARE: DILANA DILIXIATI

MEDICARE: DILANA DILIXIATI
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
11835P2201XAmbulatory Care Pharmacist0202221005VA

General Provider Information

NPI Number : 1922781103
Entity Type Code : Individual
Provider Name (Legal Business Name) : DILANA DILIXIATI
Provider Business Mailing Address
First Line : 13285 MINNIEVILLE RD
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22192-4018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13285 MINNIEVILLE RD
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22192-4018
Country : US
Telephone Number : 703-986-2504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2023
Last Update Date : 08/14/2023

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Directions to “ DILANA DILIXIATI ” Practice Location

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