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General NPI Number Information
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NPI Number | 1225254683
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Entity Type | Organization
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Legal Business Name | VER, INC.
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 1238 SMALLWOOD DRIVE, WEST
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City | WALDORF
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State | MD
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Zip | 20603
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Country | US
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Telephone | 301-932-3439
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Fax | 301-932-8660
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Provider Business Mailing Address
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Address Line | ST. CHARLES TOWN PLAZA 1238 SMALLWOOD DRIVE, WEST
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City | WALDORF
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State | MD
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Zip | 20603
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Country | US
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Telephone | 301-932-3439
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Fax | 301-932-8660
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VIRGINIA E REED
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Credential | O.D.
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Telephone | 301-932-4390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA0831
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License Number State | MD
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