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General NPI Number Information
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NPI Number | 1851585434
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Entity Type | Individual
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Provider Name | DARIA HAMRAH D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 8201 GREENSBORO DR SUITE # 601
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City | MC LEAN
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State | VA
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Zip | 22102-3810
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Country | US
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Telephone | 703-269-8467
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Fax |
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Provider Business Mailing Address
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Address Line | 2414 N VERMONT ST
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City | ARLINGTON
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State | VA
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Zip | 22207-4005
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Country | US
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Telephone | 703-269-8467
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 23276
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 0401412110
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License Number State | VA
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