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General NPI Number Information
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NPI Number | 1437035144
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Entity Type | Organization
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Legal Business Name | PRO FALLS CHURCH PLLC
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 117 E ANNANDALE RD
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City | FALLS CHURCH
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State | VA
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Zip | 22046-4402
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Country | US
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Telephone | 703-659-8188
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Fax |
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Provider Business Mailing Address
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Address Line | 12701 GALVESTON CT
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City | MANASSAS
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State | VA
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Zip | 20112-8674
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Country | US
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Telephone | 703-839-3949
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. OWAIS NAEEM
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Credential | DDS, MS
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Telephone | 703-839-3949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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