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DEARDORFF & CAMACHO NPI 1205161205


NPI Information

NPI: 1205161205
Provider Name: DEARDORFF & CAMACHO
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6201 LEESBURG PIKE
SUITE 410
FALLS CHURCH, VA
ZIP 22044
Phone: (703) 532-5044
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DEARDORFF & CAMACHO is a specialist in Falls Church, 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. DEARDORFF & CAMACHO NPI is 1205161205. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6201 LEESBURG PIKE
SUITE 410
FALLS CHURCH, VA
ZIP 22044-201
Phone: (703) 532-5044
Fax: (703) 532-5944

The provider's authorized official is Jaime Camacho .
The authorized official title is Sole Proprietor and has the following contact phone number (703) 532-5044.

The enumeration date for this NPI number is 10/8/2009 and was last updated on 10/8/2009.


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
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G89824MEDICARE UPIN

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: 4/28/2024

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