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General NPI Number Information
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NPI Number | 1669566014
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Entity Type | Individual
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Provider Name | ALI R AGHAEE DDS
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 46175 WESTLAKE DR STE 220
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City | STERLING
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State | VA
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Zip | 20165-5884
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Country | US
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Telephone | 703-404-9111
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Fax | 703-404-4181
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Provider Business Mailing Address
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Address Line | 10200 LAKESTONE PL.
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City | ROCKVILLE
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State | MD
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Zip | 20850
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Country | US
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Telephone | 301-424-8222
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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 | 0401008108
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License Number State | VA
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