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General NPI Number Information
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NPI Number | 1396844098
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Entity Type | Organization
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Legal Business Name | EDWARD R HINDMAN JR DDS PC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 06/18/2010
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Provider Practice Location Address
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Address Line | 8303 ARLINGTON BLVD SUITE 104
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City | FAIRFAX
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State | VA
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Zip | 22031-2903
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Country | US
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Telephone | 703-207-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 8303 ARLINGTON BLVD SUITE 104
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City | FAIRFAX
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State | VA
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Zip | 22031-2903
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Country | US
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Telephone | 703-207-0700
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. EDWARD ROY HINDMAN JR.
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Credential | DDS
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Telephone | 703-207-0700
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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 | 0401-005633
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License Number State | VA
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