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General NPI Number Information
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NPI Number | 1497949804
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Entity Type | Organization
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Legal Business Name | R A MORABITO DDS PLC
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 12/16/2015
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Provider Practice Location Address
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Address Line | 6200 WILSON BLVD STE 114
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City | FALLS CHURCH
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State | VA
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Zip | 22044-3209
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Country | US
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Telephone | 703-534-9160
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Fax | 703-237-6761
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Provider Business Mailing Address
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Address Line | 6200 WILSON BLVD STE 114
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City | FALLS CHURCH
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State | VA
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Zip | 22044-3209
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Country | US
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Telephone | 703-534-9160
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Fax | 703-237-6761
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT ANTHONY MORABITO
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Credential | DDS
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Telephone | 703-534-9160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 0401008893
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License Number State | VA
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