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General NPI Number Information
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NPI Number | 1598306516
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Entity Type | Organization
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Legal Business Name | VESTA, INC.
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 10/01/2019
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Provider Practice Location Address
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Address Line | 9301 ANNAPOLIS RD
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City | LANHAM
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State | MD
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Zip | 20706-3115
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Country | US
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Telephone | 240-296-1379
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Fax |
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Provider Business Mailing Address
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Address Line | 9301 ANNAPOLIS RD STE 300
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City | LANHAM
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State | MD
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Zip | 20706-3125
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Country | US
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Telephone | 240-296-1379
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Fax | 301-459-9110
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Authorized Official
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Title or Position | REVENUE MANAGER
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Name | SUK-CHING AU-YEUNG
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Credential |
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Telephone | 240-296-1379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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