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General NPI Number Information
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NPI Number | 1558887224
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Entity Type | Organization
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Legal Business Name | B&R ENDODONTIC ASSOCIATES, PLLC
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 08/15/2017
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Provider Practice Location Address
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Address Line | 8987 HERSAND DR
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City | BURKE
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State | VA
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Zip | 22015-1604
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Country | US
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Telephone | 703-528-8382
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Fax |
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Provider Business Mailing Address
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Address Line | 3833 FAIRFAX DR STE 440
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City | ARLINGTON
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State | VA
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Zip | 22203-1773
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Country | US
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Telephone | 703-528-8382
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Fax | 703-469-1708
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. ROBERT A CHERON
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Credential | DMD
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Telephone | 703-528-8382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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