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General NPI Number Information
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NPI Number | 1003277609
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Entity Type | Organization
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Legal Business Name | RABIA RAFIQ DDS & ASSOCIATES,PLLC
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Dates
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Enumeration Date | 03/10/2016
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Last Update Date | 03/10/2016
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Provider Practice Location Address
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Address Line | 7534 LIMESTONE DR
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City | GAINESVILLE
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State | VA
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Zip | 20155-4005
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Country | US
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Telephone | 703-754-2220
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Fax | 703-754-2225
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Provider Business Mailing Address
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Address Line | 11700 PLAZA AMERICA DR STE 140
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City | RESTON
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State | VA
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Zip | 20190-4753
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Country | US
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Telephone | 571-222-4900
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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 | RABIA RAFIQ
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Credential | DDS
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Telephone | 703-754-2220
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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 | 0401412074
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License Number State | VA
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