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General NPI Number Information
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NPI Number | 1487876157
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Entity Type | Individual
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Provider Name | SCOTT DAVID SCHLENSKER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13861 HULL STREET RD 200
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-2003
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Country | US
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Telephone | 804-798-1773
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Fax |
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Provider Business Mailing Address
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Address Line | 13408 KINGHAM CIR
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-5520
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Country | US
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Telephone | 804-794-1458
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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 | 0401410719
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License Number State | VA
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