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General NPI Number Information
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NPI Number | 1700590791
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Entity Type | Organization
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Legal Business Name | ZYM ORTHO, PLLC
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Dates
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Enumeration Date | 01/13/2023
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 12950 HIGHLAND CROSSING DR STE B
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City | HERNDON
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State | VA
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Zip | 20171-5888
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Country | US
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Telephone | 703-479-4188
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Fax |
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Provider Business Mailing Address
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Address Line | 8881 ENGLEWOOD FARMS DR
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City | MANASSAS
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State | VA
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Zip | 20112-5875
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Country | US
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Telephone | 703-479-4188
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Fax |
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Authorized Official
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Title or Position | OWNER AND MANAGER
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Name | DR. SYED KALIM HUSSAINI
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Credential | DDS
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Telephone | 703-479-4188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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