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General NPI Number Information
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NPI Number | 1013646728
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Entity Type | Individual
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Provider Name | NOJAN JAFARI DDS
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Gender | Male
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 110 PLEASANT ST NW STE 1A
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City | VIENNA
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State | VA
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Zip | 22180-4447
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Country | US
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Telephone | 703-938-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 43810 CENTRAL STATION DR STE 100
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City | ASHBURN
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State | VA
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Zip | 20147-7210
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Country | US
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Telephone | 571-465-2114
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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 | 0401418352
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License Number State | VA
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