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General NPI Number Information
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NPI Number | 1285031153
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Entity Type | Individual
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Provider Name | SAIF ABDULATEEF BDS, DMD
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Gender | Male
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 110 IRVING ST NW
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City | WASHINGTON
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State | DC
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Zip | 20010-3017
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Country | US
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Telephone | 202-877-5366
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 VIRGINIA ST
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City | FAIRFAX
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State | VA
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Zip | 22032-1047
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Country | US
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Telephone | 703-246-1507
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Fax |
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 0438000452
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0000
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License Number State | ZZ
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