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General NPI Number Information
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NPI Number | 1689906224
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Entity Type | Organization
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Legal Business Name | A. SANATI D.D.S & S. SHAHRAM D.D.S PC
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Dates
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Enumeration Date | 02/08/2010
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 8605 WESTWOOD CENTER DR 210
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City | VIENNA
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State | VA
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Zip | 22182-2240
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Country | US
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Telephone | 703-442-0770
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Fax | 703-442-0771
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Provider Business Mailing Address
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Address Line | 8605 WESTWOOD CENTER DR 210
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City | VIENNA
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State | VA
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Zip | 22182-2240
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Country | US
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Telephone | 703-442-0770
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Fax | 703-442-0771
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARDALAN SANATI
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Credential | D.D.S
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Telephone | 703-343-0504
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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 |
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License Number State |
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