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General NPI Number Information
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NPI Number | 1972652790
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Entity Type | Individual
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Provider Name | KOLMAN P APT D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 5301 WISCONSIN AVE NW STE 200
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City | WASHINGTON
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State | DC
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Zip | 20015-2015
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Country | US
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Telephone | 202-686-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 PROVIDENCE TER
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City | MC LEAN
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State | VA
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Zip | 22101-2649
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Country | US
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Telephone | 703-407-5366
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 0006637
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DEN1000669
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License Number State | DC
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