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General NPI Number Information
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NPI Number | 1851868129
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Entity Type | Individual
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Provider Name | INJAMAMUL LATIF NILOY DDS
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Gender | Male
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Dates
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Enumeration Date | 10/25/2018
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | OAKS PAVILLION, 1ST FLOOR RM. 01.319
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City | FORT BELVOIR
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State | VA
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Zip | 22060
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Country | US
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Telephone | 571-231-3519
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Fax |
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Provider Business Mailing Address
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Address Line | 5802 ARMY PENTAGON
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City | WASHINGTON
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State | DC
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Zip | 20310-5811
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Country | US
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Telephone | 561-727-4089
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401416341
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License Number State | VA
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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 | 17905
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 0401416341
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License Number State | VA
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