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General NPI Number Information
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NPI Number | 1124481205
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Entity Type | Organization
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Legal Business Name | WARRENTON ORAL AND FACIAL SURGERY
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 225 OAK SPRINGS DR SUITE 102
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City | WARRENTON
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State | VA
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Zip | 20186-2187
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Country | US
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Telephone | 540-347-0274
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Fax |
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Provider Business Mailing Address
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Address Line | 225 OAK SPRINGS DR SUITE 102
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City | WARRENTON
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State | VA
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Zip | 20186-2187
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Country | US
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Telephone | 540-347-0274
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. HUY C TRINH
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Credential | DDS
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Telephone | 703-449-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 0401412639
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 0401413939
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License Number State | VA
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