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General NPI Number Information
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NPI Number | 1194973057
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Entity Type | Organization
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Legal Business Name | PRITI NAIK DDS, PLC
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 8230 BOONE BLVD STE 320
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City | VIENNA
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State | VA
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Zip | 22182-2621
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Country | US
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Telephone | 703-228-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 2066 MADRILLON RD
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City | VIENNA
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State | VA
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Zip | 22182-3723
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Country | US
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Telephone | 703-847-3131
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. PRITI NAIK
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Credential | DDS
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Telephone | 703-288-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 0401410113
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License Number State | VA
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