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General NPI Number Information
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NPI Number | 1831526995
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Entity Type | Organization
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Legal Business Name | NORTHERN VIRGINIA ORAL AND FACIAL SURGERY, LLC
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Dates
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Enumeration Date | 10/03/2013
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 4211 FAIRFAX CORNER AVE E STE 235
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City | FAIRFAX
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State | VA
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Zip | 22030-8623
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Country | US
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Telephone | 703-449-8888
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Fax | 703-449-9888
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Provider Business Mailing Address
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Address Line | 4211 FAIRFAX CORNER AVE E SUITE 235
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City | FAIRFAX
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State | VA
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Zip | 22030-8622
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Country | US
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Telephone | 703-449-8888
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Fax | 703-449-9888
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. HUY TRINH
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Credential | DDS
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Telephone | 703-449-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number | 0401413939
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License Number State | VA
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