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NPI 1003952706

NPI 1003952706 : SHAHNAZ SABER DDS PA : CATONSVILLE, MD

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General NPI Number Information
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    NPI Number           |    1003952706
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    Entity Type          |    Individual 
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    Provider Name        |    SHAHNAZ SABER DDS PA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/29/2007
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    Last Update Date     |    03/25/2019
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Provider Practice Location Address
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    Address Line         |    4 WEST ROLLING CROSSROADS SUITE 5
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    City                 |    CATONSVILLE
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    State                |    MD
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    Zip                  |    21228-6278
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    Country              |    US
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    Telephone            |    410-747-0341
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    Fax                  |    410-747-2437
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Provider Business Mailing Address
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    Address Line         |    4 WEST ROLLING CROSSROADS SUITE 5
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    City                 |    CATONSVILLE
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    State                |    MD
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    Zip                  |    21228-6278
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    Country              |    US
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    Telephone            |    410-747-0341
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    Fax                  |    410-747-2437
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    12112
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    License Number State |    MD
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