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General NPI Number Information
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NPI Number | 1881348951
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Entity Type | Organization
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Legal Business Name | AL-KARAGHOLI DENTISTRY OF MERRIFIELD PC
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 8190 STRAWBERRY LN STE 10
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City | FALLS CHURCH
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State | VA
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Zip | 22042-1030
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Country | US
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Telephone | 703-204-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 8190 STRAWBERRY LN STE 10
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City | FALLS CHURCH
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State | VA
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Zip | 22042-1030
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Country | US
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Telephone | 703-204-0050
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MUSTAFA AL-KARAGHOLI
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Credential |
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Telephone | 703-204-0050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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