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General NPI Number Information
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NPI Number | 1881379071
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Entity Type | Individual
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Provider Name | KULSUM IQBAL DMD
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Gender | Female
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 12520 PROSPERITY DR
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City | SILVER SPRING
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State | MD
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Zip | 20904-1664
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Country | US
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Telephone | 301-989-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 848 NEW MARK ESPLANADE
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City | ROCKVILLE
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State | MD
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Zip | 20850-2750
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Country | US
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Telephone | 651-307-1873
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 401418511
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 18745
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License Number State | MD
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