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General NPI Number Information
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NPI Number | 1962044420
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Entity Type | Organization
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Legal Business Name | ALICE TSENG OD OPTOMETRIST PLLC
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 10/16/2019
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Provider Practice Location Address
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Address Line | 6211 LEESBURG PIKE
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2107
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Country | US
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Telephone | 703-862-2587
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Fax | 703-865-5083
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Provider Business Mailing Address
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Address Line | 200 LAWYERS RD NW UNIT 83
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City | VIENNA
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State | VA
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Zip | 22183-8006
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Country | US
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Telephone | 703-865-5082
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Fax | 703-865-5083
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALICE TSENG
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Credential |
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Telephone | 703-862-2587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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