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General NPI Number Information
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NPI Number | 1144640111
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Entity Type | Organization
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Legal Business Name | VITAL PSYCHIATRY ASSOCIATES LLC
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 07/01/2015
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Provider Practice Location Address
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Address Line | 105 N VIRGINIA AVE SUITE 207
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3339
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Country | US
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Telephone | 703-829-0593
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Fax | 888-959-2142
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Provider Business Mailing Address
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Address Line | 105 N VIRGINIA AVE SUITE 207
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3339
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Country | US
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Telephone | 703-829-0593
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Fax | 888-959-2142
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | TEJPAL SINGH
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Credential | M.D.
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Telephone | 703-829-0593
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101252791
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License Number State | VA
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