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General NPI Number Information
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NPI Number | 1437340163
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Entity Type | Organization
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Legal Business Name | VANDANA SOOD, D.M.D., LLC
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 04/22/2010
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Provider Practice Location Address
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Address Line | 19420 GOLF VISTA PLZ SUITE 360
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City | LEESBURG
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State | VA
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Zip | 20176-8265
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Country | US
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Telephone | 703-723-9332
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Fax | 703-723-9336
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Provider Business Mailing Address
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Address Line | 19420 GOLF VISTA PLZ SUITE 360
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City | LEESBURG
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State | VA
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Zip | 20176-8265
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Country | US
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Telephone | 703-723-9332
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Fax | 703-723-9336
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VANDANA SOOD
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Credential | D.M.D.
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Telephone | 703-723-9332
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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 | 0401411405
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License Number State | VA
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