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General NPI Number Information
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NPI Number | 1629851811
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Entity Type | Organization
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Legal Business Name | DENTISTS OF DUMFRIES
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 16820 DUMFIRES RD UNIT 110
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City | DUMFRIES
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State | VA
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Zip | 22025
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Country | US
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Telephone | 702-800-2760
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Fax |
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Provider Business Mailing Address
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Address Line | 16820 DUMFIRES RD UNIT 110
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City | DUMFRIES
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State | VA
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Zip | 22025
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. YAS SALEEM
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Credential |
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Telephone | 720-800-2760
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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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