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General NPI Number Information
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NPI Number | 1033251103
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Entity Type | Individual
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Provider Name | ROBERT OTTO CONLEY D.D.S
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2112 F ST NW SUITE203
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City | WASHINGTON
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State | DC
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Zip | 20037-2715
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Country | US
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Telephone | 202-466-3364
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Fax | 202-466-3365
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Provider Business Mailing Address
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Address Line | 3930 KNOWLES AVE 204
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City | KENSINGTON
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State | MD
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Zip | 20895-2428
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Country | US
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Telephone | 301-942-2611
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Fax | 301-942-2603
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7006
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN3550
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License Number State | DC
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