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General NPI Number Information
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NPI Number | 1679967533
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Entity Type | Organization
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Legal Business Name | GEORGE XENAKIS, DDS, DC, PLLC
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 1629 K ST. NW, MEZZANINE LEVEL
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City | WASHINGTON
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State | DC
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Zip | 20006
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Country | US
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Telephone | 202-861-0001
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Fax | 202-861-0030
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Provider Business Mailing Address
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Address Line | 1629 K ST. NW, MEZZANINE LEVEL
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City | WASHINGTON
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State | DC
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Zip | 20006
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Country | US
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Telephone | 202-861-0001
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Fax | 202-861-0030
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE XENAKIS
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Credential | DDS
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Telephone | 212-643-0927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DEN1001414
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License Number State | DC
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