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General NPI Number Information
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NPI Number | 1487884383
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Entity Type | Individual
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Provider Name | ENID C. COLON D.D.S
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Gender | Female
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Dates
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Enumeration Date | 07/26/2009
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Last Update Date | 07/26/2009
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Provider Practice Location Address
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Address Line | 1635 N GEORGE MASON DR STE 470
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City | ARLINGTON
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State | VA
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Zip | 22205-3677
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Country | US
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Telephone | 703-522-9292
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Fax | 703-522-9096
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Provider Business Mailing Address
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Address Line | 1635 N GEORGE MASON DR STE 470
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City | ARLINGTON
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State | VA
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Zip | 22205-3677
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Country | US
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Telephone | 703-522-9292
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Fax | 703-522-9096
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401007009
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License Number State | VA
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