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General NPI Number Information
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NPI Number | 1598117061
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Entity Type | Organization
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Legal Business Name | JUST FOR YOUR SMILE DENTAL CLINIC
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 07/08/2016
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Provider Practice Location Address
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Address Line | 10540 DEMOCRACY BLVD
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City | POTOMAC
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State | MD
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Zip | 20854-4444
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Country | US
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Telephone | 301-299-0200
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Fax | 301-299-0220
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Provider Business Mailing Address
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Address Line | 10540 DEMOCRACY BLVD
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City | POTOMAC
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State | MD
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Zip | 20854-4444
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Country | US
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Telephone | 301-299-0200
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Fax | 301-299-0220
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Authorized Official
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Title or Position | OWNER
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Name | HASAN S OSSEIRAN
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Credential | DDS
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Telephone | 202-460-2626
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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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