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General NPI Number Information
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NPI Number | 1033636634
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Entity Type | Organization
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Legal Business Name | TOOTHMAN ORTHODONTICS, PA
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 81 N EDGEWOOD DR
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6501
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Country | US
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Telephone | 301-791-1770
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Fax |
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Provider Business Mailing Address
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Address Line | 81 N EDGEWOOD DR
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6501
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Country | US
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Telephone | 301-791-1770
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. AIMEE L CATANIA
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Credential | MBA
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Telephone | 301-791-1770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 14635
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License Number State | MD
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