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General NPI Number Information
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NPI Number | 1194133413
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Entity Type | Individual
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Provider Name | YASER NASIF D.D.S
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Gender | Male
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Dates
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Enumeration Date | 07/30/2014
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Last Update Date | 07/30/2014
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Provider Practice Location Address
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Address Line | 13 GAYLE ST
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City | HAMPTON
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State | VA
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Zip | 23669-2442
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Country | US
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Telephone | 575-551-8788
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 945 DENTAL CENTERS OF VIRGINIA, DR.SAM ENGLISH
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City | WEST POINT
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State | VA
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Zip | 23181-0945
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Country | US
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Telephone | 804-843-3233
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401414560
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License Number State | VA
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