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General NPI Number Information
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NPI Number | 1245841709
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Entity Type | Organization
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Legal Business Name | VIGEO PT LLC
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Dates
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Enumeration Date | 08/10/2020
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 150 S WASHINGTON ST STE 501
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City | FALLS CHURCH
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State | VA
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Zip | 22046-2940
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Country | US
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Telephone | 703-244-6884
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Fax | 703-940-1077
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Provider Business Mailing Address
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Address Line | 7218 QUINCY AVE
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City | FALLS CHURCH
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State | VA
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Zip | 22042-1622
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Country | US
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Telephone | 703-244-6884
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Fax | 703-940-1077
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CESAR AGUSTIN RIOS-VILLENA
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Credential | RN
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Telephone | 703-244-6884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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