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General NPI Number Information
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NPI Number | 1518844018
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Entity Type | Individual
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Provider Name | NABIEL DEHYAR
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Gender | Male
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 9534 BURKE RD
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City | BURKE
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State | VA
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Zip | 22015-3132
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Country | US
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Telephone | 703-764-0650
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Fax |
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Provider Business Mailing Address
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Address Line | 12989 FAIR LAKES SHOPPING CTR
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City | FAIRFAX
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State | VA
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Zip | 22033-5177
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Country | US
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Telephone | 703-222-1230
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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 | 0401419608
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License Number State | VA
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