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General NPI Number Information
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NPI Number | 1346667649
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Entity Type | Organization
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Legal Business Name | VICTORIA CONSULTING SERVICES
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 03/25/2014
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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 | 110 KAREN RD
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City | SOUTHAMPTON
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State | PA
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Zip | 18966-2434
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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 | PRESIDENT
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Name | DR. VICTOR TSAN
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Credential |
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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 | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | AK-001-022
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License Number State | PA
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