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General NPI Number Information
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NPI Number | 1558969113
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Entity Type | Organization
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Legal Business Name | LANDIS SERVICES, PLLC
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Dates
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Enumeration Date | 10/15/2020
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 355 CRAWFORD ST STE 333
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City | PORTSMOUTH
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State | VA
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Zip | 23704-2819
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Country | US
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Telephone | 757-301-1079
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1062
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City | PORTSMOUTH
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State | VA
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Zip | 23705-1062
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Country | US
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Telephone | 757-301-1079
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA A ALAVANJA
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Credential | MD
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Telephone | 301-938-4766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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