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General NPI Number Information
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NPI Number | 1396358511
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Entity Type | Individual
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Provider Name | NAVEED SEYED MOHAMMAD CHERAGHI DDS
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Gender | Male
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Dates
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Enumeration Date | 08/27/2020
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 2 CARDINAL PARK DR SE STE 204A
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City | LEESBURG
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State | VA
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Zip | 20175-4449
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Country | US
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Telephone | 703-779-2296
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Fax |
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Provider Business Mailing Address
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Address Line | 818 N QUINCY ST APT 1803
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City | ARLINGTON
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State | VA
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Zip | 22203-2085
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401417392
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License Number State | VA
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