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General NPI Number Information
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NPI Number | 1114044880
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Entity Type | Organization
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Legal Business Name | DENNIS S. O'LEARY, DDS, PC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5840 MACARTHUR BLVD NW
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City | WASHINGTON
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State | DC
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Zip | 20016-2542
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Country | US
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Telephone | 202-966-8108
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Fax | 202-966-8106
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Provider Business Mailing Address
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Address Line | 5840 MACARTHUR BLVD NW
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City | WASHINGTON
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State | DC
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Zip | 20016-2542
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Country | US
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Telephone | 202-966-8108
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Fax | 202-966-8106
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. JENNIFER B O'LEARY
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Credential |
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Telephone | 202-966-8108
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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 | 5817
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License Number State | DC
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