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General NPI Number Information
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NPI Number | 1790356830
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Entity Type | Organization
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Legal Business Name | 2B DENTAL PLLC
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Dates
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Enumeration Date | 07/09/2021
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 3165 MOUNT PLEASANT ST NW
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City | WASHINGTON
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State | DC
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Zip | 20010-2709
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Country | US
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Telephone | 202-540-9213
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 953
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City | RIVERDALE
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State | MD
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Zip | 20738-0953
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Country | US
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Telephone | 503-358-2432
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ADRIAN A THOMPSON
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Credential | DDS
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Telephone | 503-358-2432
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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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