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General NPI Number Information
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NPI Number | 1538163498
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Entity Type | Individual
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Provider Name | ROBERT HUGH MITTON D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5111 LEESBURG PIKE
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City | FALLS CHURCH
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State | VA
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Zip | 22041-3251
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Country | US
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Telephone | 703-681-0039
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Fax |
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Provider Business Mailing Address
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Address Line | 9020 EDGEWOOD DR
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1543
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Country | US
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Telephone | 240-603-4611
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 15933
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License Number State | TX
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