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General NPI Number Information
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NPI Number | 1306022355
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Entity Type | Individual
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Provider Name | RUPINDER SIDHU DDS
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Gender | Female
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Dates
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Enumeration Date | 01/20/2008
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 2645 NAYLOR RD SE
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City | WASHINGTON
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State | DC
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Zip | 20020-7255
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Country | US
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Telephone | 240-401-4346
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Fax |
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Provider Business Mailing Address
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Address Line | 23261 MEADOWVALE GLEN CT
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City | STERLING
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State | VA
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Zip | 20166-2150
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Country | US
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Telephone | 206-228-4873
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN1000692
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License Number State | DC
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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 | 0401411930
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License Number State | VA
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