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General NPI Number Information
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NPI Number | 1407868102
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Entity Type | Organization
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Legal Business Name | E-TRON SYSTEMS, INC.
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9406 GUNSTON COVE RD STE F
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City | LORTON
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State | VA
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Zip | 22079-2301
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Country | US
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Telephone | 703-690-2731
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Fax | 703-690-6005
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Provider Business Mailing Address
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Address Line | 9406 GUNSTON COVE RD STE F
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City | LORTON
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State | VA
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Zip | 22079-2301
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Country | US
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Telephone | 703-690-2731
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Fax | 703-690-6005
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JAMES M. ROGAN
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Credential |
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Telephone | 703-690-2731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 118
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License Number State | VA
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