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General NPI Number Information
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NPI Number | 1174223499
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Entity Type | Organization
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Legal Business Name | VYANA INFANT MASSAGE LLC
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 1601 10TH ST S
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City | ARLINGTON
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State | VA
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Zip | 22204-4769
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Country | US
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Telephone | 170-399-9695
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 S GLEBE RD # 41754
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City | ARLINGTON
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State | VA
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Zip | 22204-9998
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Country | US
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Telephone | 202-505-8993
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KHYATI DESAI-SELTZER
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Credential | CEIM
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Telephone | 202-505-8993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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