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General NPI Number Information
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NPI Number | 1174005664
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Entity Type | Organization
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Legal Business Name | PAINLESS ROOT CANAL SPECIALISTS, PLLC
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Dates
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Enumeration Date | 08/31/2018
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 501 H ST NE STE 200B
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City | WASHINGTON
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State | DC
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Zip | 20002-5679
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Country | US
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Telephone | 202-864-6449
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Fax |
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Provider Business Mailing Address
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Address Line | 501 H ST NE STE 200B
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City | WASHINGTON
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State | DC
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Zip | 20002-5679
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Country | US
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Telephone | 202-864-6449
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL OPERATIONS
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Name | RACHEL ELIZABETH IZQUIERDO
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Credential |
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Telephone | 240-262-7208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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