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General NPI Number Information
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NPI Number | 1912597451
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Entity Type | Organization
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Legal Business Name | VPA PC
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 1055 WESTLAKES DR STE 3152
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City | BERWYN
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State | PA
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Zip | 19312-2410
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Country | US
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Telephone | 215-346-6050
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Fax | 215-220-3562
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Provider Business Mailing Address
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Address Line | 500 KIRTS BLVD STE 100
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City | TROY
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State | MI
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Zip | 48084-4135
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Country | US
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Telephone | 248-434-6169
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Fax | 855-618-6655
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY STEVENS
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Credential | DO
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Telephone | 248-824-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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