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General NPI Number Information
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NPI Number | 1093929473
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Entity Type | Organization
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Legal Business Name | JAMES L GYURICZA DDS PC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5212 B LYNGATE CT
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City | BURKE
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State | VA
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Zip | 22015
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Country | US
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Telephone | 703-978-5660
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Fax | 703-978-0423
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Provider Business Mailing Address
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Address Line | 5212 B LYNGATE CT
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City | BURKE
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State | VA
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Zip | 22015
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Country | US
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Telephone | 703-978-5660
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Fax | 703-978-0423
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES L GYURICZA
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Credential | DDS PC
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Telephone | 703-978-5650
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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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