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General NPI Number Information
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NPI Number | 1134909955
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Entity Type | Organization
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Legal Business Name | VIP PHYSICIAN GROUP LLC
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 166 DEFENSE HWY
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City | ANNAPOLIS
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State | MD
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Zip | 21401-8919
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Country | US
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Telephone | 240-914-8721
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Fax | 240-513-7104
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Provider Business Mailing Address
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Address Line | 166 DEFENSE HWY STE 303
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City | ANNAPOLIS
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State | MD
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Zip | 21401-8926
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Country | US
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Telephone | 250-914-8721
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Fax | 240-513-7104
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEMRA SAHINCI
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Credential | MD
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Telephone | 240-914-8721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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