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General NPI Number Information
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NPI Number | 1578981866
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Entity Type | Individual
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Provider Name | AMMAR AL-MAHDI DDS, MS, A.B.O.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 6565 ARLINGTON BLVD STE 501
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3018
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Country | US
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Telephone | 703-534-8711
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Fax |
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Provider Business Mailing Address
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Address Line | 11700 TALLEY CT
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City | OAKTON
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State | VA
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Zip | 22124-1251
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Country | US
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Telephone | 571-426-5788
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | RES.3270
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 0401415218
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License Number State | VA
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