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NPI 1699909838

NPI 1699909838 : RICHARD L GIULIANI, DDS, PA : CHEVY CHASE, MD

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General NPI Number Information
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    NPI Number           |    1699909838
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    Entity Type          |    Organization 
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    Legal Business Name  |    RICHARD L GIULIANI, DDS, PA 
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Dates
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    Enumeration Date     |    05/02/2009
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    Last Update Date     |    08/05/2009
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Provider Practice Location Address
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    Address Line         |    5530 WISCONSIN AVE SUITE 640
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    City                 |    CHEVY CHASE
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    State                |    MD
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    Zip                  |    20815-4404
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    Country              |    US
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    Telephone            |    301-652-7372
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5530 WISCONSIN AVE SUITE 640
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    City                 |    CHEVY CHASE
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    State                |    MD
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    Zip                  |    20815-4404
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    Country              |    US
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    Telephone            |    301-652-7372
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ORAL SURGEON
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    Name                 |    DR. RICHARD LEWIS GIULIANI 
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    Credential           |    DDS, MS
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    Telephone            |    301-652-7372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    3783
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    License Number State |    MD
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