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General NPI Number Information
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NPI Number | 1639089949
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Entity Type | Organization
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Legal Business Name | MVC VA PLLC
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 10721 MAIN ST STE G8
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City | FAIRFAX
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State | VA
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Zip | 22030-6912
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Country | US
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Telephone | 866-607-2308
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Fax | 248-479-1900
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Provider Business Mailing Address
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Address Line | 7125 ORCHARD LAKE RD STE 100
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3616
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Country | US
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Telephone | 248-847-4924
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Fax | 248-479-1900
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PHILIP LOPRESTI
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Credential | DO
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Telephone | 248-847-4924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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