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General NPI Number Information
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NPI Number | 1407311962
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Entity Type | Organization
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Legal Business Name | VISION HEALTHCARE SERVICES
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Dates
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Enumeration Date | 02/08/2019
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 3908 CHERRY HILL WAY
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City | ANNANDALE
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State | VA
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Zip | 22003-2219
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Country | US
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Telephone | 202-716-9192
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Fax |
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Provider Business Mailing Address
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Address Line | 5516 GOLDEN EAGLE RD
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City | FREDERICK
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State | MD
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Zip | 21704-6750
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Country | US
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Telephone | 202-716-9192
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Fax |
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Authorized Official
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Title or Position | ADVISOR
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Name | PEHA DJOKO
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Credential |
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Telephone | 202-716-9192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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