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1609864099
ANDREW WILLIAM BAZEMORE
FAIRFAX, VA
NPI
1609864099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101238694)
Enumeration Date
2005-10-10
Last Update Date
2023-11-27
Business Address
ANDREW WILLIAM BAZEMORE MD
3650 JOSEPH SIEWICK DR SUITE 400
FAIRFAX, VA 22033-1710
Phone number: 703-391-2020
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Mailing Address
ANDREW WILLIAM BAZEMORE MD
PO BOX 791128
BALTIMORE, MD 21279-1128
Phone number: 703-391-2020
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