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General NPI Number Information
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NPI Number | 1386651693
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Entity Type | Individual
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Provider Name | ROBERT SHELTON REDMAN DDS
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 50 IRVING ST NW VA MEDICAL CENTER
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City | WASHINGTON
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State | DC
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Zip | 20422
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Country | US
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Telephone | 202-745-8490
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Fax | 202-462-2006
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Provider Business Mailing Address
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Address Line | 12425 BOBBINK COURT
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City | POTOMAC
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State | MD
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Zip | 20854-3005
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Country | US
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Telephone | 301-424-2096
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D06356
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License Number State | MN
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