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General NPI Number Information
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NPI Number | 1508252313
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Entity Type | Organization
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Legal Business Name | ALINE DENTAL ASSOCIATES PC
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 14904 JEFFERSON DAVIS HWY SUITE 304
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3908
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Country | US
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Telephone | 703-910-4805
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Fax |
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Provider Business Mailing Address
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Address Line | 11622 VERNA DR
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City | OAKTON
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State | VA
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Zip | 22124-2045
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Country | US
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Telephone | 301-520-0405
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | DR. SINDHURA UPPALAPATI
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Credential | DDS
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Telephone | 703-999-0318
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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 | 0401413727
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License Number State | VA
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