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General NPI Number Information
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NPI Number | 1053727404
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Entity Type | Organization
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Legal Business Name | TELE-PHYSICIANS, P.C.
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1717 MAIN ST STE 5850
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City | DALLAS
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State | TX
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Zip | 75201-7317
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Country | US
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Telephone | 972-449-0540
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Fax |
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Provider Business Mailing Address
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Address Line | 2411 DULLES CORNER PARK STE 475
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City | HERNDON
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State | VA
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Zip | 20171-5605
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Country | US
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Telephone | 800-762-9244
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Fax | 786-672-6006
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Authorized Official
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Title or Position | DIRECTOR
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Name | SARA VITULLO
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Credential |
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Telephone | 972-449-0540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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