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General NPI Number Information
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NPI Number | 1811121114
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Entity Type | Organization
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Legal Business Name | DR.S SULLIVAN, KAIHARA & WATKINS
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 05/15/2009
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Provider Practice Location Address
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Address Line | 6845 ELM ST STE 475
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City | MC LEAN
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State | VA
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Zip | 22101-6051
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Country | US
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Telephone | 703-356-3556
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Fax | 703-356-3804
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Provider Business Mailing Address
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Address Line | 2440 M ST NW STE 610
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City | WASHINGTON
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State | DC
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Zip | 20037-1497
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Country | US
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Telephone | 202-466-3333
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Fax | 202-466-4155
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. GARY G KAIHARA
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Credential | D.D.S.
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Telephone | 202-466-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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