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General NPI Number Information
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NPI Number | 1174016190
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Entity Type | Individual
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Provider Name | BILAL RASOOL CHAUDHRY DDS
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Gender | Male
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 801 N QUINCY ST STE 110
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City | ARLINGTON
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State | VA
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Zip | 22203
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Country | US
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Telephone | 703-778-7610
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Fax | 703-243-8006
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Provider Business Mailing Address
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Address Line | 6717 SWINDON PL
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City | MANASSAS
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State | VA
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Zip | 20112-5569
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Country | US
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Telephone | 703-608-0594
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0401416059
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License Number State | VA
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