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General NPI Number Information
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NPI Number | 1659501039
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Entity Type | Individual
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Provider Name | SHAHRZAD SALARTASH D.D.S
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Gender | Female
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Dates
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Enumeration Date | 07/20/2009
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 20755 WILLIAMSPORT PL STE 300
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City | ASHBURN
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State | VA
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Zip | 20147-6524
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Country | US
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Telephone | 703-775-0002
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Fax | 540-900-4747
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Provider Business Mailing Address
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Address Line | 20755 WILLIAMSPORT PL STE 300
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City | ASHBURN
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State | VA
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Zip | 20147-6524
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Country | US
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Telephone | 703-775-0002
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Fax | 540-900-4747
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 066988NP
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401412490
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License Number State | VA
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