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General NPI Number Information
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NPI Number | 1295343739
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Entity Type | Organization
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Legal Business Name | KEVIN JAMES SALINAS, DDS, PC
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | 4893 PRINCE WILLIAM PKWY STE 101
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City | WOODBRIDGE
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State | VA
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Zip | 22192-5404
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Country | US
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Telephone | 703-494-2226
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Fax |
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Provider Business Mailing Address
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Address Line | 13175 MARINA WAY APT 509
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City | WOODBRIDGE
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State | VA
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Zip | 22191-1277
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Country | US
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Telephone | 202-230-2579
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Fax |
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | DR. KEVIN JAMES SALINAS
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Credential | DDS
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Telephone | 202-230-2579
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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 |
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License Number State |
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