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General NPI Number Information
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NPI Number | 1669914412
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Entity Type | Organization
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Legal Business Name | VISUAL HEALTH DOCTORS OF OPTOMETRY
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Dates
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Enumeration Date | 11/10/2016
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Last Update Date | 11/10/2016
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Provider Practice Location Address
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Address Line | 1927C OLD GALLOWS RD
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City | VIENNA
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State | VA
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Zip | 22182-3924
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Country | US
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Telephone | 703-748-2015
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Fax | 703-748-2891
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Provider Business Mailing Address
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Address Line | 1927C OLD GALLOWS RD
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City | VIENNA
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State | VA
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Zip | 22182-3924
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Country | US
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Telephone | 703-748-2015
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Fax | 703-748-2891
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | SEEMA YOUSAF
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Credential |
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Telephone | 703-273-6323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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