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General NPI Number Information
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NPI Number | 1235515685
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Entity Type | Organization
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Legal Business Name | RAHMAN DENTAL ASSOCIATES, PC
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Dates
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Enumeration Date | 08/08/2015
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Last Update Date | 11/02/2015
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Provider Practice Location Address
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Address Line | 4613 DUKE ST SUITE D
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City | ALEXANDRIA
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State | VA
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Zip | 22304-2594
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Country | US
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Telephone | 751-302-5241
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Fax | 703-751-5795
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Provider Business Mailing Address
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Address Line | 4613 DUKE ST SUITE D
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City | ALEXANDRIA
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State | VA
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Zip | 22304-2594
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Country | US
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Telephone | 571-302-5241
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Fax | 703-751-5795
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Authorized Official
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Title or Position | OWNER
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Name | DR. MURSHED RAHMAN
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Credential | DDS
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Telephone | 571-302-5241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 0401413123
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License Number State | VA
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