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Contact Information

REBECCA O CLARK, MD
107 N VIRGINIA AVE
FALLS CHURCH, VA22046-3336
 Phone: 703-532-4446
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for REBECCA O CLARK · (Female)

NPI Number 1275852139
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2010
Last updated 11/22/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NE License # 26754
  • VA License # 0101277667
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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