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General NPI Number Information
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NPI Number | 1265983753
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Entity Type | Organization
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Legal Business Name | VICTORIA CONSULTING SERVICES, INC
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 9922 ROOSEVELT BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19115-1705
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Country | US
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Telephone | 267-403-3085
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Fax | 866-359-6528
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Provider Business Mailing Address
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Address Line | 9922 ROOSEVELT BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19115-1705
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Country | US
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Telephone | 267-403-3085
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Fax | 866-359-6528
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Authorized Official
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Title or Position | CEO
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Name | DR. VICTOR TSAN
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Credential | CHP
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Telephone | 267-403-3085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | AK001022
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License Number State | PA
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