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General NPI Number Information
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NPI Number | 1982088381
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Entity Type | Individual
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Provider Name | MADONNA ZAKI D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 4435 BENNING RD., N.E.
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City | WASHINGTON
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State | DC
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Zip | 20019
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Country | US
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Telephone | 917-226-6289
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 PARK CENTER DR. C 305
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City | ALEXANDRIA
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State | VA
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Zip | 22302
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Country | US
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Telephone | 917-803-6308
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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 | DEN1001519
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License Number State | DC
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