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General NPI Number Information
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NPI Number | 1669639167
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Entity Type | Organization
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Legal Business Name | FLOSS AND SMILE, P.C.
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 3223 DUKE ST SUITE A
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4586
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Country | US
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Telephone | 703-212-0602
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Fax | 703-212-0607
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Provider Business Mailing Address
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Address Line | 3223 DUKE ST SUITE A
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4586
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Country | US
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Telephone | 703-212-0602
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Fax | 703-212-0607
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Authorized Official
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Title or Position | DENTIST
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Name | DR. KIMBERLY TOWNES
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Credential | D.D.S.
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Telephone | 703-212-0602
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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 | 0401411021
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License Number State | VA
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