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General NPI Number Information
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NPI Number | 1538654231
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Entity Type | Organization
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Legal Business Name | ISYNCHRONY LLC
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Dates
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Enumeration Date | 06/25/2018
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Last Update Date | 06/25/2018
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Provider Practice Location Address
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Address Line | 2952 CHAIN BRIDGE RD STE H
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City | OAKTON
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State | VA
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Zip | 22124-3024
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Country | US
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Telephone | 703-865-7224
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 JERMANTOWN RD STE 700
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City | FAIRFAX
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State | VA
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Zip | 22030-2879
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROBERT SILVETZ
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Credential |
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Telephone | 858-336-6119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0005X
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Taxonomy Name | Neurodevelopmental Disabilities Physician
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License Number |
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License Number State |
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