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General NPI Number Information
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NPI Number | 1003182502
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Entity Type | Organization
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Legal Business Name | GAIL A. KIRKLAND-BRISCOE, DDS PC
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 3012 18TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20018-2458
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Country | US
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Telephone | 202-526-4060
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Fax | 202-526-4065
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Provider Business Mailing Address
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Address Line | 3012 18TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20018-2458
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Country | US
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Telephone | 202-526-4060
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Fax | 202-526-4065
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. GAIL ALICIA KIRKLAND-BRISCOE
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Credential | DDS
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Telephone | 202-526-4060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DEN4726
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License Number State | DC
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