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General NPI Number Information
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NPI Number | 1710155247
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Entity Type | Organization
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Legal Business Name | DR. SHERIF N. ELHADY DDS MS PC
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 6505 SYDENSTRICKER RD SUITE B
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City | BURKE
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State | VA
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Zip | 22015-4282
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Country | US
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Telephone | 703-440-0100
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Fax | 703-440-1312
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Provider Business Mailing Address
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Address Line | 6505 SYDENSTRICKER RD SUITE B
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City | BURKE
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State | VA
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Zip | 22015-4282
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Country | US
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Telephone | 703-440-0100
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Fax | 703-440-1312
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHERIF N. ELHADY
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Credential |
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Telephone | 703-440-0100
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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 | 0401410821
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License Number State | VA
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