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General NPI Number Information
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NPI Number | 1669769865
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Entity Type | Individual
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Provider Name | SALIM CHRISTOPHER JREISSATY DDS
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Gender | Male
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Dates
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Enumeration Date | 07/08/2011
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 2506 VIRGINIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20037-1901
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Country | US
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Telephone | 202-965-5400
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Fax | 202-298-7760
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Provider Business Mailing Address
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Address Line | 2201 WISCONSIN AVE,NW #519
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City | WASHINGTON
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State | DC
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Zip | 20007-4116
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Country | US
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Telephone | 202-714-1263
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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 | DEN1000933
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License Number State | DC
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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 | 14692
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License Number State | MD
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