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General NPI Number Information
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NPI Number | 1063828127
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Entity Type | Organization
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Legal Business Name | DAVID ASGARI DMD
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 6525C FRONTIER DR
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City | SPRINGFIELD
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State | VA
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Zip | 22150-1410
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Country | US
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Telephone | 703-313-7000
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Fax | 703-313-7004
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Provider Business Mailing Address
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Address Line | 6525C FRONTIER DR
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City | SPRINGFIELD
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State | VA
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Zip | 22150-1410
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Country | US
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Telephone | 703-313-7000
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Fax | 703-313-7004
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Authorized Official
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Title or Position | PROCTICE OWNER/DENTIST
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Name | DR. NAVID ASGARI
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Credential | D.M.D.
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Telephone | 703-313-7000
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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 | 0401008923
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License Number State | VA
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