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General NPI Number Information
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NPI Number | 1376780197
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Entity Type | Individual
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Provider Name | LAURA A. W. MUHAMMAD D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | 2401 CALVERT ST NW APT 106
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City | WASHINGTON
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State | DC
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Zip | 20008-2655
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Country | US
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Telephone | 202-462-7676
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Fax |
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Provider Business Mailing Address
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Address Line | 4524 C ST SE
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City | WASHINGTON
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State | DC
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Zip | 20019-4372
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Country | US
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Telephone | 202-905-4430
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Fax | 202-581-1231
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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 | DEN4846
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License Number State | DC
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