# FAIRFAX CONVENIENT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760661391
- **Authorized official:** DR. RUDY H JUBURI MD (PRESIDENT)
- **Authorized official phone:** (703) 849-0900

## Contact information

- **Practice address:** 8301 ARLINGTON BLVD, SUITE 100, FAIRFAX, VA 22031-2902
- **Practice address phone:** (703) 849-0900
- **Practice address fax:** (703) 208-7444
- **Mailing address:** 8301 ARLINGTON BLVD, SUITE 100, FAIRFAX, VA 22031-2902
- **Mailing address phone:** (703) 849-0900
- **Mailing address fax:** (703) 208-7444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2007
- **Last updated:** 11/25/2008