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General NPI Number Information
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NPI Number | 1659995173
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Entity Type | Organization
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Legal Business Name | HYSA COGNITIVE AND NEUROREHABILITATION PLLC
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 06/01/2020
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Provider Practice Location Address
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Address Line | 2465 CENTREVILLE RD # J17-734
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City | HERNDON
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State | VA
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Zip | 20171-4586
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Country | US
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Telephone | 586-873-1094
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Fax |
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Provider Business Mailing Address
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Address Line | 2465 CENTREVILLE RD # J17-734
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City | HERNDON
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State | VA
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Zip | 20171-4586
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Country | US
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Telephone | 586-873-1094
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VIOLA QAFALIJAJ HYSA
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Credential | MD
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Telephone | 586-873-1094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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