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NPI 1902368848

NPI 1902368848 : HEBA K RASHED DDS : LORTON, VA

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General NPI Number Information
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    NPI Number           |    1902368848
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    Entity Type          |    Individual 
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    Provider Name        |    HEBA K RASHED DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/01/2019
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    Last Update Date     |    07/02/2021
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Provider Practice Location Address
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    Address Line         |    8116 GILROY DR 
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    City                 |    LORTON
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    State                |    VA
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    Zip                  |    22079-2936
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    Country              |    US
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    Telephone            |    703-593-9980
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8116 GILROY DR 
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    City                 |    LORTON
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    State                |    VA
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    Zip                  |    22079-2936
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    Country              |    US
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    Telephone            |    
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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       |    16993
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    License Number State |    MD
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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       |    0401416559
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    License Number State |    VA
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Taxonomy #3
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    16993
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    License Number State |    MD
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