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General NPI Number Information
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NPI Number | 1316138571
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Entity Type | Organization
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Legal Business Name | FADWA NASSAR,D.D.S. PLLC
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6400 ARLINGTON BLVD SUITE 944
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City | FALLS CHURCH
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State | VA
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Zip | 22042-2325
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Country | US
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Telephone | 703-534-7900
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Fax | 703-534-7211
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Provider Business Mailing Address
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Address Line | 6400 ARLINGTON BLVD STE 944
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City | FALLS CHURCH
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State | VA
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Zip | 22042-2325
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Country | US
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Telephone | 703-534-7900
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Fax | 703-534-7211
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Authorized Official
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Title or Position | DENTIST /OWNER
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Name | DR. FADWA NASSAR
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Credential | DDS
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Telephone | 703-534-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | VA
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