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NPI 1275744757

NPI 1275744757 : VESTA, INC. : SEVERN, MD

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General NPI Number Information
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    NPI Number           |    1275744757
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    Entity Type          |    Organization 
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    Legal Business Name  |    VESTA, INC. 
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Dates
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    Enumeration Date     |    05/25/2007
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    Last Update Date     |    09/29/2025
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Provider Practice Location Address
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    Address Line         |    8141 TELEGRAPH RD 
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    City                 |    SEVERN
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    State                |    MD
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    Zip                  |    21144-3256
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    Country              |    US
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    Telephone            |    240-296-1370
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    Fax                  |    410-672-2869
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Provider Business Mailing Address
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    Address Line         |    9301 ANNAPOLIS RD STE 300 ATTN: FINANCE DEPARTMENT
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    City                 |    LANHAM
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    State                |    MD
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    Zip                  |    20706-3125
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    Country              |    US
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    Telephone            |    240-296-5848
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    Fax                  |    301-459-9110
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. JIGNESH  DALAL 
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    Credential           |    CPA
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    Telephone            |    240-296-6099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    14370
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    License Number State |    MD
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