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General NPI Number Information
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NPI Number | 1184323651
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Entity Type | Organization
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Legal Business Name | CENTER FOR VEIN DISEASE PLLC
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Dates
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Enumeration Date | 02/23/2023
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 5454 WISCONSIN AVE # 1665
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6901
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Country | US
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Telephone | 571-239-3856
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Fax | 703-288-4775
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Provider Business Mailing Address
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Address Line | 8537 GEORGETOWN PIKE
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City | MC LEAN
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State | VA
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Zip | 22102-1205
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Country | US
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Telephone | 571-239-3856
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Fax | 703-288-4775
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MEHRU SONDE
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Credential | MD,FACP,DABVLM
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Telephone | 571-239-3856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number |
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License Number State |
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