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General NPI Number Information
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NPI Number | 1245312677
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Entity Type | Organization
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Legal Business Name | ANDREW M SKLAR DDS PC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4901 SEMINARY RD #120
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City | ALEXANDRIA
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State | VA
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Zip | 22311
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Country | US
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Telephone | 703-931-3141
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Fax | 703-845-1512
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Provider Business Mailing Address
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Address Line | 4901 SEMINARY RD #120
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City | ALEXANDRIA
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State | VA
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Zip | 22311
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Country | US
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Telephone | 703-931-3141
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Fax | 703-845-1512
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. ANDREW MALCOLM SKLAR
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Credential | DDS
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Telephone | 703-931-3141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4488
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License Number State | VA
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