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General NPI Number Information
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NPI Number | 1154954931
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Entity Type | Organization
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Legal Business Name | VINSON AND ASSOCIATES, PLLC
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 2345 MARTIN LUTHER KING JR AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20020-5821
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Country | US
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Telephone | 202-610-5690
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Fax |
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Provider Business Mailing Address
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Address Line | 7045 ASHLEIGH MANOR CT
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City | ALEXANDRIA
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State | VA
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Zip | 22315-4757
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Country | US
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Telephone | 614-483-5172
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RACHEL VINSON
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Credential | DDS
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Telephone | 614-483-5172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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