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General NPI Number Information
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NPI Number | 1912893249
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Entity Type | Individual
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Provider Name | KISHORI DINESH PATEL DDS
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Gender | Female
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 11050 LEE HWY
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City | FAIRFAX
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State | VA
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Zip | 22030
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Country | US
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Telephone | 703-520-6376
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 N OAK ST APT 1414
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City | ARLINGTON
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State | VA
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Zip | 22209-2613
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Country | US
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Telephone | 813-527-4130
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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 | 18693
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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 | 2001555
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401419693
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License Number State | VA
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