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General NPI Number Information
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NPI Number | 1336450287
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Entity Type | Individual
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Provider Name | SRIDEVI BABU DMD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2010
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Last Update Date | 01/29/2014
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Provider Practice Location Address
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Address Line | 1731 CLARENDON BLVD
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City | ARLINGTON
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State | VA
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Zip | 22209-2741
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Country | US
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Telephone | 703-812-8800
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Fax | 703-812-8802
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Provider Business Mailing Address
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Address Line | 1731 CLARENDON BLVD
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City | ARLINGTON
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State | VA
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Zip | 22209-2741
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Country | US
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Telephone | 703-812-8800
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Fax | 703-812-8802
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 10376
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1855464
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 27725
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401414280
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License Number State | VA
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