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NPI 1649559493

NPI 1649559493 : IGOR S SHTEYNSHLEYGER D.D.S. : CHEVY CHASE, MD

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General NPI Number Information
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    NPI Number           |    1649559493
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    Entity Type          |    Individual 
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    Provider Name        |    IGOR S SHTEYNSHLEYGER D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/11/2011
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    Last Update Date     |    08/11/2011
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Provider Practice Location Address
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    Address Line         |    4242 E WEST HWY 703
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    City                 |    CHEVY CHASE
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    State                |    MD
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    Zip                  |    20815-5934
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    Country              |    US
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    Telephone            |    301-792-1912
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4242 E WEST HWY 703
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    City                 |    CHEVY CHASE
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    State                |    MD
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    Zip                  |    20815-5934
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    Country              |    US
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    Telephone            |    301-792-1912
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    11605
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    License Number State |    MD
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