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General NPI Number Information
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NPI Number | 1740171677
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Entity Type | Organization
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Legal Business Name | PLEASANT VALLEY HEALTH SERVICES PLLC
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 8711 PLANTATION LN STE 302
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City | MANASSAS
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State | VA
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Zip | 20110-8322
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Country | US
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Telephone | 571-569-0607
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Fax | 571-569-0608
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Provider Business Mailing Address
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Address Line | 4410 BROOKFIELD CORPORATE DR
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City | CHANTILLY
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State | VA
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Zip | 20151-1662
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Country | US
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Telephone | 571-569-0607
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Fax | 571-569-0608
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Authorized Official
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Title or Position | OWNER
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Name | OLAYEMI IKHILE
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Credential | DNP
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Telephone | 571-569-0607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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