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General NPI Number Information
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NPI Number | 1003312968
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Entity Type | Individual
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Provider Name | SHEIRA LEE RAMOS VELEZ DMD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2018
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 425B MAPLE AVE W
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City | VIENNA
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State | VA
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Zip | 22180-4222
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Country | US
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Telephone | 703-214-9779
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Fax |
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Provider Business Mailing Address
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Address Line | 425B MAPLE AVE W
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City | VIENNA
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State | VA
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Zip | 22180-4222
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Country | US
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Telephone | 703-214-9779
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0401416819
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DEN2000049
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License Number State | DC
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