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General NPI Number Information
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NPI Number | 1740547504
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Entity Type | Organization
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Legal Business Name | GOPAL S. PAL DDS. MS
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 7540 LITTLE RIVER TURNPIKE SUITE A
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City | ANNANDALE
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State | VA
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Zip | 22003
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Country | US
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Telephone | 703-642-2828
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Fax | 703-642-0209
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Provider Business Mailing Address
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Address Line | 7540 LITTLE RIVER TURNPIKE SUITE A
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City | ANNANDALE
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State | VA
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Zip | 22003
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Country | US
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Telephone | 703-642-2828
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Fax | 703-642-0209
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Authorized Official
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Title or Position | DENTIST
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Name | DR. GOPAL S PAL
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Credential | DDS
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Telephone | 703-642-2828
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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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