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General NPI Number Information
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NPI Number | 1841922382
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Entity Type | Organization
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Legal Business Name | DUNBAR SMILE CENTER
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 95 DUNN DR STE 202
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City | STAFFORD
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State | VA
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Zip | 22556-1503
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Country | US
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Telephone | 804-402-4923
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Fax |
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Provider Business Mailing Address
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Address Line | 813 BASSWOOD DR
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City | STAFFORD
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State | VA
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Zip | 22554-2575
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | PATRICIA DUNBAR
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Credential |
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Telephone | 804-402-4923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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