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General NPI Number Information
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NPI Number | 1629247499
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Entity Type | Organization
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Legal Business Name | ALI R. ZIGLARI, DDS, PC
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 5100 WISCONSIN AVE NW SUITE 210
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City | WASHINGTON
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State | DC
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Zip | 20016-4119
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Country | US
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Telephone | 202-966-9643
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Fax | 202-966-1888
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Provider Business Mailing Address
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Address Line | 141 CHEVY CHASE ST
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City | GAITHERSBURG
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State | MD
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Zip | 20878-6466
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Country | US
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Telephone | 301-717-5779
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Fax | 202-966-1888
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. ALI REZA ZIGLARI
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Credential | D.D.S.
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Telephone | 202-966-9643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN1000674
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License Number State | DC
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