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Organization
SPINE AND PAIN CLINIC OF NORTH AMERICA, LLC
Active
Organization
SPINE AND PAIN CLINIC OF NORTH AMERICA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARAH ZIA (OWNER)
(703) 520-1031
Entity
Organization
Contact information
Practice address
4001 FAIR RIDGE DR, SUITE 202, FAIRFAX, VA 22033-2917
(301) 873-9596
(703) 520-7269
Mailing address
4001 FAIR RIDGE DR STE 202, FAIRFAX, VA 22033-2917
(703) 520-1031
(703) 520-7269
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
0101233975
VA
Other
Enumeration date
07/06/2016
Last updated
08/17/2026
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