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General NPI Number Information
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NPI Number | 1790908978
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Entity Type | Individual
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Provider Name | DAPHNE PAPAEFTHIMIOU D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 508 IRVINGTON RD
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City | KILMARNOCK
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State | VA
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Zip | 22482
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Country | US
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Telephone | 804-435-3102
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1935
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City | KILMARNOCK
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State | VA
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Zip | 22482-1935
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Country | US
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Telephone | 804-435-3102
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0401412182
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License Number State | VA
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