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General NPI Number Information
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NPI Number | 1710314661
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Entity Type | Organization
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Legal Business Name | DRS BACHOUR & CHURCH, PLLC
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Dates
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Enumeration Date | 10/07/2013
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Last Update Date | 10/08/2013
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Provider Practice Location Address
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Address Line | 20405 EXCHANGE ST SUITE 201
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City | ASHBURN
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State | VA
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Zip | 20147-5909
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Country | US
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Telephone | 703-464-0868
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Fax |
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Provider Business Mailing Address
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Address Line | 8045 LEESBURG PIKE FL 5
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City | VIENNA
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State | VA
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Zip | 22182-2737
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MAYA BACHOUR
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Credential |
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Telephone | 919-360-1763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401411337
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License Number State | VA
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