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General NPI Number Information
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NPI Number | 1326464009
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Entity Type | Organization
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Legal Business Name | CHRISTINE F. STANG, PC
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Dates
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Enumeration Date | 03/05/2014
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 11353 SUNSET HILLS RD
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City | RESTON
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State | VA
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Zip | 20190-5205
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Country | US
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Telephone | 703-435-8282
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Fax |
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Provider Business Mailing Address
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Address Line | 2 YORK ST
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City | NEWTOWN
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State | PA
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Zip | 18940-1472
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Country | US
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Telephone | 540-327-4579
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Fax |
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Authorized Official
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Title or Position | OWNER/ORTHODONTIST
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Name | DR. CHRISTINE STANG
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Credential | DDS, MSD
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Telephone | 540-327-4579
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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 | 0401414289
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License Number State | VA
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