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General NPI Number Information
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NPI Number | 1164133450
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Entity Type | Organization
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Legal Business Name | KAYLEY DENTAL PLLC
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Dates
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Enumeration Date | 12/08/2022
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 8101 HINSON FARM RD STE 109
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City | ALEXANDRIA
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State | VA
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Zip | 22306-3403
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Country | US
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Telephone | 703-516-8892
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Fax | 703-563-9580
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Provider Business Mailing Address
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Address Line | 8101 HINSON FARM RD STE 109
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City | ALEXANDRIA
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State | VA
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Zip | 22306-3403
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Country | US
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Telephone | 703-516-8892
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Fax | 703-563-9580
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Authorized Official
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Title or Position | FINANCIAL DIRECTOR
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Name | DANIELA ALDERETES
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Credential |
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Telephone | 571-919-5100
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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 |
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License Number State |
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