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General NPI Number Information
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NPI Number | 1538419791
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Entity Type | Organization
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Legal Business Name | NOVA CHILDREN'S DENTISTRY OF ASHBURN
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 09/14/2012
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Provider Practice Location Address
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Address Line | 44121 HARRY BYRD HWY SUITE 265
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City | ASHBURN
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State | VA
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Zip | 20147-5667
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Country | US
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Telephone | 703-858-1550
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Fax |
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Provider Business Mailing Address
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Address Line | 44121 HARRY BYRD HWY SUITE 265
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City | ASHBURN
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State | VA
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Zip | 20147-5667
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Country | US
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Telephone | 703-858-1550
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. NAVIN SETHI
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Credential |
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Telephone | 301-775-6460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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