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General NPI Number Information
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NPI Number | 1316209620
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Entity Type | Individual
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Provider Name | GEORGE GOTSIRIDZE DMD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 12919 ALTON SQ APT #209
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City | HERNDON
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State | VA
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Zip | 20170
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Country | US
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Telephone | 781-249-2087
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Fax |
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Provider Business Mailing Address
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Address Line | 12919 ALTON SQ APT #209
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City | HERNDON
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State | VA
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Zip | 20170
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Country | US
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Telephone | 781-249-2087
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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 | 0401413621
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License Number State | VA
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