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General NPI Number Information
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NPI Number | 1518292275
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Entity Type | Organization
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Legal Business Name | EYE PHYSICIANS AND SURGEONS INC
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Dates
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Enumeration Date | 10/13/2009
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Last Update Date | 02/24/2019
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Provider Practice Location Address
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Address Line | 3031 JAVIER RD STE 300
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City | FAIRFAX
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State | VA
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Zip | 22031-4637
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Country | US
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Telephone | 703-698-8880
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Fax | 703-698-8884
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Provider Business Mailing Address
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Address Line | 3031 JAVIER RD STE 300
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City | FAIRFAX
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State | VA
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Zip | 22031-4637
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Country | US
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Telephone | 703-698-8880
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Fax | 703-698-8884
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | JOHN PHILLIP ESSEPIAN III
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Credential | MD
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Telephone | 703-698-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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