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General NPI Number Information
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NPI Number | 1245052679
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Entity Type | Organization
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Legal Business Name | PRIME VASCULAR CARE LLC
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 21475 RIDGETOP CIR STE 350
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City | STERLING
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State | VA
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Zip | 20166-6580
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Country | US
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Telephone | 571-631-7488
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Fax | 574-631-7489
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Provider Business Mailing Address
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Address Line | PO BOX 15
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City | LEESBURG
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State | VA
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Zip | 20178-0015
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Country | US
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Telephone | 571-631-7488
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Fax | 571-631-7489
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Authorized Official
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Title or Position | SURGEON
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Name | AYORINDE AKINRINLOLA
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Credential | MD
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Telephone | 571-631-7488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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