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General NPI Number Information
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NPI Number | 1194286898
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Entity Type | Individual
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Provider Name | WALEED RABAH ALKAKHAN DDS, MSD, MA
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Gender | Male
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 2727 S QUINCY ST APT 1224
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City | ARLINGTON
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State | VA
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Zip | 22206-2362
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Country | US
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Telephone | 703-489-3226
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 S QUINCY ST APT 1224
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City | ARLINGTON
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State | VA
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Zip | 22206-2362
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Country | US
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Telephone | 703-489-3226
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 0401416769
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License Number State | VA
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