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1639304918
CHILDRENS NATIONAL SPECIALIST OF VIRGINIA LLC
FAIRFAX, VA
NPI
1639304918
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Entity Type
Organization
Authorized Contact
SUSAN PFENNIG
Manager
202-476-4447
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: DC HFD01-0208)
Enumeration Date
2009-05-15
Last Update Date
2009-10-15
Business Address
CHILDRENS NATIONAL SPECIALIST OF VIRGINIA LLC
3023 HAMAKER COURT SUITE 500
FAIRFAX, VA 22031
Phone number: 202-476-6284
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Mailing Address
CHILDRENS NATIONAL SPECIALIST OF VIRGINIA LLC
PO BOX 17507
BALTIMORE, MD 21297-0483
Phone number:
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