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General NPI Number Information
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NPI Number | 1588500508
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Entity Type | Organization
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Legal Business Name | ANDERSON, ROSAS AND BARRAGAN DENTAL ASSOCIATES
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 2915 HUNTER MILL RD STE 5
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City | OAKTON
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State | VA
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Zip | 22124-1716
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Country | US
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Telephone | 703-281-4456
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Fax | 703-281-4611
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Provider Business Mailing Address
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Address Line | 2915 HUNTER MILL RD STE 5
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City | OAKTON
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State | VA
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Zip | 22124-1716
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Country | US
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Telephone | 703-281-4456
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Fax | 703-281-4611
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | GLORIA BRAVO
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Credential |
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Telephone | 703-281-4456
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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 |
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License Number State |
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