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General NPI Number Information
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NPI Number | 1699622779
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Entity Type | Organization
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Legal Business Name | OLGA SPIVAK DMD PLLC
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 303 MAPLE AVE W STE E
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City | VIENNA
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State | VA
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Zip | 22180-4312
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Country | US
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Telephone | 703-260-2500
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Fax | 571-669-7771
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Provider Business Mailing Address
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Address Line | 303 MAPLE AVE W STE E
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City | VIENNA
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State | VA
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Zip | 22180-4312
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Country | US
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Telephone | 703-260-2500
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Fax | 571-669-7771
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. OLGA S SPIVAK
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Credential | DMD
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Telephone | 703-260-2500
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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 |
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License Number State |
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