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General NPI Number Information
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NPI Number | 1932488814
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Entity Type | Individual
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Provider Name | ROSELYNE N GICHANA D.M.D
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Gender | Female
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 05/11/2016
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Provider Practice Location Address
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Address Line | 6400 ARLINGTON BLVD SUITE 80
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City | FALLS CHURCH
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State | VA
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Zip | 22042-2325
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Country | US
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Telephone | 703-533-5511
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Fax | 703-852-7072
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Provider Business Mailing Address
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Address Line | 6105 MADAWASKA RD
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City | BETHESDA
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State | MD
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Zip | 20816-3110
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Country | US
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Telephone | 571-296-1669
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Fax | 703-852-7072
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 0401413414
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License Number State | VA
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