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General NPI Number Information
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NPI Number | 1235503764
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Entity Type | Organization
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Legal Business Name | FAISAL MIR, DDS, PLLC
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Dates
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Enumeration Date | 11/20/2015
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Last Update Date | 11/20/2015
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Provider Practice Location Address
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Address Line | 2108 18TH ST NW SUITE 1
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City | WASHINGTON
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State | DC
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Zip | 20009-1891
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Country | US
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Telephone | 202-234-8991
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 COLUMBIA PIKE APT 710
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City | ARLINGTON
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State | VA
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Zip | 22204-4432
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Country | US
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Telephone | 571-278-7070
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FAISAL MIR
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Credential | DDS
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Telephone | 202-234-8998
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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 | DEN1001432
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License Number State | DC
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