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General NPI Number Information
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NPI Number | 1013133404
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Entity Type | Individual
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Provider Name | NORLANDO CONANAN O.D.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 01/23/2018
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Provider Practice Location Address
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Address Line | 6307D RICHMOND HWY
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City | ALEXANDRIA
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State | VA
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Zip | 22306-6410
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Country | US
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Telephone | 703-269-9878
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Fax | 703-269-9874
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Provider Business Mailing Address
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Address Line | 1950 OLD GALLOWS RD STE 250
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City | VIENNA
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State | VA
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Zip | 22182-3990
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Country | US
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Telephone | 703-847-8899
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Fax | 866-795-4020
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618001120
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License Number State | VA
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