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NPI 1861531063

NPI 1861531063 : HEALTH VISIONS INC : FAIRFAX, VA

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General NPI Number Information
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    NPI Number           |    1861531063
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTH VISIONS INC 
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Dates
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    Enumeration Date     |    02/05/2007
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    Last Update Date     |    01/06/2015
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Provider Practice Location Address
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    Address Line         |    8301 ARLINGTON BLVD SUITE 505
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    City                 |    FAIRFAX
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    State                |    VA
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    Zip                  |    22031
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    Country              |    US
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    Telephone            |    703-204-1630
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    Fax                  |    703-573-5429
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Provider Business Mailing Address
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    Address Line         |    8550 ARLINGTON BLVD SUITE 300
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    City                 |    FAIRFAX
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    State                |    VA
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    Zip                  |    22031-4634
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    Country              |    US
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    Telephone            |    703-204-1630
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    Fax                  |    703-573-5429
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. PHILIP BRIAN ANDREWS 
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    Credential           |    PHD
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    Telephone            |    703-204-1630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    0810003417
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    License Number State |    VA
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