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General NPI Number Information
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NPI Number | 1023634243
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Entity Type | Individual
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Provider Name | AMANJOT KAUR SARAO DMD
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Gender | Female
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 09/11/2022
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Provider Practice Location Address
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Address Line | 140 THOMAS JOHNSON DR STE 203
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City | FREDERICK
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State | MD
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Zip | 21702-4485
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Country | US
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Telephone | 301-662-8675
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Fax |
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Provider Business Mailing Address
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Address Line | 14976 OMEGA CT
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City | WATERFORD
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State | VA
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Zip | 20197-1664
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Country | US
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Telephone | 269-591-0504
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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 | 2951000825
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License Number State | MI
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