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General NPI Number Information
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NPI Number | 1447416276
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Entity Type | Organization
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Legal Business Name | VIRGINIA DENTAL & ANESTHESIA ASSOCIATES
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 1420 CENTRAL PARK BLVD #201
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4932
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Country | US
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Telephone | 540-786-0696
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Fax | 540-785-1340
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Provider Business Mailing Address
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Address Line | 1420 CENTRAL PARK BLVD #201
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4932
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Country | US
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Telephone | 540-786-0696
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Fax | 540-785-1340
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Authorized Official
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Title or Position | PARTNER
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Name | DR. H L POPE JR.
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Credential | DDS
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Telephone | 540-786-0696
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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 | 006941
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 007596
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 007851
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 8000573
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 006941
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 04001007710
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License Number State | VA
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