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General NPI Number Information
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NPI Number | 1245479666
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Entity Type | Individual
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Provider Name | TAKEISHA ROCHELLE PRESSON D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 02/09/2009
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 220 I ST NE STE 100
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City | WASHINGTON
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State | DC
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Zip | 20002-4365
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Country | US
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Telephone | 202-827-4512
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Fax | 202-827-4547
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Provider Business Mailing Address
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Address Line | 220 I ST NE STE 100
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City | WASHINGTON
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State | DC
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Zip | 20002-4365
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Country | US
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Telephone | 202-297-4592
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Fax | 202-827-4547
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401412877
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14387
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN1000789
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License Number State | DC
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