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FAIR OAKS SKIN CARE CENTER LTD NPI 1831225507


NPI Information

NPI: 1831225507
Provider Name: FAIR OAKS SKIN CARE CENTER, LTD

Doing Business As: FAIR OAKS SKIN CARE CENTER

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3700 JOSEPH SIEWICK DR
SUITE 403
FAIRFAX, VA
ZIP 22033
Phone: (703) 648-2488
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FAIR OAKS SKIN CARE CENTER, LTD is a specialist in Fairfax, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FAIR OAKS SKIN CARE CENTER, LTD NPI is 1831225507. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fair Oaks Skin Care Center.

The provider's business location address is:

3700 JOSEPH SIEWICK DR
SUITE 403
FAIRFAX, VA
ZIP 22033-744
Phone: (703) 648-2488
Fax: (703) 648-2489

The provider's authorized official is Brenda Dintiman .
The authorized official title is President and has the following contact phone number (703) 648-2488.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist0101046760VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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