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General NPI Number Information
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NPI Number | 1790995017
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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 | 05/23/2007
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 8141 TELEGRAPH RD
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City | SEVERN
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State | MD
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Zip | 21144-3256
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Country | US
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Telephone | 240-296-1370
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Fax | 410-672-2869
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Provider Business Mailing Address
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Address Line | 9301 ANNAPOLIS RD STE 300 ATTN: FINANCE DEPARTMENT
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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 | 240-296-6300
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JIGNESH DALAL
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Credential | CPA
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Telephone | 240-296-6099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 4567
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 4627
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License Number State | MD
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