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General NPI Number Information
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NPI Number | 1457926693
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Entity Type | Individual
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Provider Name | VIRGINIA ISABEL PEREZ TORREALBA DDS
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Gender | Female
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 05/05/2023
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Provider Practice Location Address
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Address Line | 1330 NEW HAMPSHIRE AVE NW STE B3
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City | WASHINGTON
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State | DC
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Zip | 20036-6300
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Country | US
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Telephone | 22-290-3934
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Fax |
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Provider Business Mailing Address
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Address Line | 803 SYCAMORE CT
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City | HERNDON
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State | VA
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Zip | 20170-5466
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Country | US
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Telephone | 703-731-8402
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN2000222
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License Number State | DC
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