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General NPI Number Information
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NPI Number | 1003358243
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Entity Type | Organization
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Legal Business Name | GHAFOOR GHAMARY DDS, LLC
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 14800 4TH ST 14-A
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City | LAUREL
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State | MD
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Zip | 20707-3764
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Country | US
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Telephone | 301-498-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 14800 4TH ST 14-A
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City | LAUREL
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State | MD
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Zip | 20707-3764
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Country | US
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Telephone | 301-498-1414
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Fax |
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Authorized Official
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Title or Position | ADMIN ASST
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Name | EMILY LABARCA
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Credential |
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Telephone | 301-740-7500
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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 | 8795
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License Number State | MD
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