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General NPI Number Information
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NPI Number | 1871445114
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Entity Type | Organization
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Legal Business Name | VIVINE DENTAL STUDIO
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 915 N QUINCY ST
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City | ARLINGTON
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State | VA
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Zip | 22203-1907
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Country | US
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Telephone | 703-276-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 13210 FOX RIPPLE LN
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City | HERNDON
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State | VA
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Zip | 20171-3042
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. VINEETHA VIJAYAKUMAR
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Credential | DMD
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Telephone | 572-373-9906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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