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Contact Information

YEN LOGAN
14139 POTOMAC MILLS RD
WOODBRIDGE, VA22192-4644
 Phone: 703-490-8400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

VA

261QV0200X
Indicates primary specialty

NPI Profile & details for

NPI Number 1154870145
Entity Organization
Organization subpart 1 Not specified
Enumeration date 10/01/2016
Last updated 10/01/2016 - About 10 years ago
Identifiers
VA License # 0202205698
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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