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General NPI Number Information
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NPI Number | 1043814262
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Entity Type | Organization
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Legal Business Name | BATTLEFIELD DENTAL OF FREDERICKSBURG, INC.
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Dates
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Enumeration Date | 11/29/2020
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Last Update Date | 11/29/2020
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Provider Practice Location Address
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Address Line | 5996 PLANK RD
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-6232
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Country | US
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Telephone | 540-412-6793
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Fax | 540-412-6802
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Provider Business Mailing Address
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Address Line | 5996 PLANK RD
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-6232
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Country | US
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Telephone | 540-412-6793
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Fax | 540-412-6802
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | DR. GEORGE CHENG
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Credential | DDS
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Telephone | 804-357-5000
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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 |
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License Number State |
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