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General NPI Number Information
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NPI Number | 1013402320
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Entity Type | Individual
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Provider Name | ELIAS SANIE DDS
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Gender | Male
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Dates
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Enumeration Date | 06/28/2018
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 740 OLD FRANKLIN TPKE
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City | ROCKY MOUNT
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State | VA
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Zip | 24151-5881
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Country | US
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Telephone | 540-489-8191
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Fax |
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Provider Business Mailing Address
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Address Line | 9708 FIVE OAKS RD
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City | FAIRFAX
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State | VA
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Zip | 22031-1109
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Country | US
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Telephone | 571-228-2826
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DL13686
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DL14124
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401416677
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License Number State | VA
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