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General NPI Number Information
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NPI Number | 1386465672
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Entity Type | Organization
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Legal Business Name | AGNES BOLUS-ALIGNAY DDS PA
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 804 PERSHING DR STE 3
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City | SILVER SPRING
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State | MD
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Zip | 20910-4436
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Country | US
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Telephone | 301-608-9363
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Fax | 301-608-9390
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Provider Business Mailing Address
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Address Line | 804 PERSHING DR STE 3
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City | SILVER SPRING
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State | MD
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Zip | 20910-4436
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Country | US
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Telephone | 301-608-9363
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Fax | 301-608-9390
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AGNES F BOLUS-ALIGNAY
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Credential | DDS
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Telephone | 301-608-9363
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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 |
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