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General NPI Number Information
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NPI Number | 1841942018
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Entity Type | Organization
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Legal Business Name | SMILING WITH LOVE PLLC
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 01/19/2022
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Provider Practice Location Address
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Address Line | 5004 FERRELL PKWY STE 104
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-8875
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Country | US
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Telephone | 757-296-0570
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Fax | 757-296-0571
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Provider Business Mailing Address
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Address Line | 5004 FERRELL PKWY STE 104
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-8875
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Country | US
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Telephone | 757-296-0570
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Fax | 757-296-0571
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | LUIS ARANGO
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Credential |
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Telephone | 757-362-1090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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