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General NPI Number Information
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NPI Number | 1518489020
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Entity Type | Individual
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Provider Name | FARNAZ VALAEI DDS, MD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 6845 ELM ST STE 225
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City | MC LEAN
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State | VA
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Zip | 22101-3865
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Country | US
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Telephone | 703-356-2000
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Fax | 703-356-2002
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Provider Business Mailing Address
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Address Line | 1800 TOWN CENTER DR STE 116
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City | RESTON
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State | VA
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Zip | 20190-3237
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Country | US
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Telephone |
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 1648164
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License Number State | VA
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