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General NPI Number Information
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NPI Number | 1043433618
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Entity Type | Individual
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Provider Name | MAGDALENA PIDLAOAN VALLAR DMD MPH
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2507 ST PAUL STREET
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City | BALTIMORE
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State | MD
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Zip | 21218
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Country | US
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Telephone | 410-243-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 3 JILL COURT
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City | REISTERSTOWN
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State | MD
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Zip | 21136
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Country | US
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Telephone | 410-833-5920
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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 | DENTIST05522
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License Number State | MD
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