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General NPI Number Information
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NPI Number | 1861805392
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Entity Type | Individual
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Provider Name | JOHN ANDREW MUSTIAN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 06/02/2014
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Provider Practice Location Address
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Address Line | 5700 OLD RICHMOND AVE STE B8
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City | RICHMOND
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State | VA
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Zip | 23226-1828
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Country | US
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Telephone | 804-285-9548
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Fax |
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Provider Business Mailing Address
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Address Line | 1745 W CARY ST
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City | RICHMOND
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State | VA
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Zip | 23220-5308
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Country | US
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Telephone | 804-405-8936
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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 | 0401414450
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License Number State | VA
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